NPIMap

Eye Care Associates of Co, LLC

Organization Active NPI Optometrist · Creston, IA

NPI 1770346751 · NPPES record last updated Feb 2, 2024

Key facts

NPI
1770346751
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
EYE CARE ASSOCIATES OF CO, LLC
Practice address
807 N Sumner Ave
Creston, IA 50801-1350
Phone
(641) 782-2111
NPI assigned
Feb 2, 2024
Organization subpart
Yes
Parent organization (as reported)
EYE CARE ASSOCIATES OF CO, LLC

Authorized official

Name
David Deppen
Title
Senior Director, Revenue Cycle
Phone
(937) 539-8057

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 32

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

View all 32

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 63

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240520001305 IA DME Supplier - Physician - Optometrist
DME Supplier - Optician		 9537597828 Practice locations: Creston, IA

National Provider Directory

Tax ID family
Eye Care Associates of Co (33 organizations share this tax ID)
Part of
Eye Care Associates of Co

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

807 N Sumner Ave
Creston, IA 50801-1350

Mailing address

PO Box 879
Fort Washington, PA 19034-0879

Other names

  • Family Vision Center - Creston Doing business as

Other providers in Creston, IA

All providers in Creston, IA · Optometrist in Iowa

Sources for this page

Verify at the official NPI Registry.