Organization Active NPI

Central Vision Center of Oskaloosa P.C.

  • Optometrist
  • Oskaloosa, IA
National Provider Identifier
1730133885
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTRAL VISION CENTER OF OSKALOOSA P.C.
Practice address
119 1St Ave W
Oskaloosa, IA 52577-3243
Phone
(641) 673-7708
Fax
(641) 673-0979
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Dr. Cynthia Shoup, O.D.
Title
Owner
Phone
(641) 673-7708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

119 1St Ave W
Oskaloosa, IA 52577-3243

Mailing address

119 1St Ave W
Oskaloosa, IA 52577-3243
Phone (641) 673-7708

Other identifiers 1

IdentifierTypeStateIssuer
0187500MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1730133885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 1ST AVE W",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525773243",
            "telephone_number": "641-673-7708",
            "fax_number": "641-673-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1ST AVE W",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525773243",
            "telephone_number": "641-673-7708",
            "fax_number": "641-673-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VISION CENTER OF OSKALOOSA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "SHOUP",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-673-7708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187500",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.