NPIMap

Organization Active NPI

Eyecare Partners, P.C.

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1770144941
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE PARTNERS, P.C.
Practice address
440 S 68TH St
West Des Moines, IA 50266-8431
Phone
(641) 628-9225
NPI assigned
Jun 27, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
EYECARE PARTNERS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Tracy Paulsen
Title
Insurance Coordinator
Phone
(641) 628-9225

Specialties & licenses 1

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

Addresses

Primary practice location

440 S 68TH St
West Des Moines, IA 50266-8431

Mailing address

440 S 68TH St
West Des Moines, IA 50266-8431
Phone (641) 628-9225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319000956 IA Part B Supplier - Clinic/Group Practice 0749170850 Receives reassigned benefits from 7 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Des Moines, IA; Pella, IA; West Des Moines, IA; Ames, IA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eyecare Partners PC3 organizations share this tax ID, including this one
Part of
Eyecare Partners PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 High Ave W
Ste 2
Oskaloosa, IA 52577
Phone (641) 673-0911

440 S 68th St
West Des Moines, IA 50266
Phone (641) 628-9225

Practitioners & affiliated clinicians

Practitioners 7

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": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1770144941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S 68TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668431",
            "telephone_number": "641-628-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S 68TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668431",
            "telephone_number": "641-628-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PARTNERS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYECARE PARTNERS, P.C.",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "641-628-9225"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.