Organization Active NPI

Amy Hartmann Eye Care, LLC

Doing business as Amy Hartmann Eye Care

  • Optometrist
  • Cedar Falls, IA
National Provider Identifier
1760090120
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMY HARTMANN EYE CARE, LLC
Doing business as
Amy Hartmann Eye Care
Practice address
3217 Cedar Heights Dr
Cedar Falls, IA 50613-6039
Phone
(319) 260-2620
Fax
(319) 260-2620
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Ms. Dawn Marie Pollastrini, CPA
Title
Manager
Phone
(319) 352-2020

Specialties & licenses 1

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

Addresses

Primary practice location

3217 Cedar Heights Dr
Cedar Falls, IA 50613-6039

Mailing address

3217 Cedar Heights Dr
Cedar Falls, IA 50613-6039
Phone (319) 260-2620

Other names 1

  • Amy Hartmann Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200828002287 IA Part B Supplier - Clinic/Group Practice 6406273911 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Falls, IA

National Provider Directory

National Provider Directory

Locations

3217 Cedar Heights Dr
Cedar Falls, IA 50613
Phone (319) 260-2620

1300 10th Ave SW
Ste A
Waverly, IA 50677

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1760090120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136039",
            "telephone_number": "319-260-2620",
            "fax_number": "319-260-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136039",
            "telephone_number": "319-260-2620",
            "fax_number": "319-260-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY HARTMANN EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "POLLASTRINI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-352-2020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Hartmann Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.