Midwest Optometric Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1609 Issued in IA

Legal business name

MIDWEST OPTOMETRIC ASSOCIATES PC

Practice address

420 1St Ave E
Dyersville, IA 52040-1326

Phone

(563) 875-8123

Fax

(563) 875-7874

NPI assigned

Jan 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Thomas Ahern, OD

Title

President

Phone

(563) 875-8123

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1710958301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 1ST AVE E",
            "address_2": "PO BOX 160",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401326",
            "telephone_number": "563-875-8123",
            "fax_number": "563-875-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1ST AVE E",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401326",
            "telephone_number": "563-875-8123",
            "fax_number": "563-875-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST OPTOMETRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-875-8123",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144170",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Meisch, DC
• Mercy Family Pharmacy (Mercy Family Pharmacy Dyersville)
• Mercy Medical Center-Dubuque
• Mercy Medical Center-Dyersville (MercyOne Dyersville Medical Center)
• Mercy Medical Center-Dyersville (MercyOne Dyersville Medical Center - Swing Bed)
• Thomas Ray Miner, D.O.
• Grace Morgan, MA
• Linda J. Nightingale
• Thomas Gerard Olberding, RPH
• Julie A Panosh, PHARM D

• Optometrist in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.