Individual provider Active NPI

Laura Purdue, O.D.

  • Optometrist
  • Waukee, IA
National Provider Identifier
1780065771
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5188 Issued in FL
Practice address
1350 E Hickman Rd
Waukee, IA 50263-8137
Phone
(515) 221-9195
Fax
(515) 221-9196
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8698T TX
Optometrist 152W00000X OPC5188 FL Primary

Addresses

Primary practice location

1350 E Hickman Rd
Waukee, IA 50263-8137

Mailing address

1350 E Hickman Rd
Waukee, IA 50263-8137
Phone (515) 221-9195

Other names 1

  • Laura Zink Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161027002100 FL Practitioner - Optometry 7315254943
I20190213001490 IA Practitioner - Optometry 7315254943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Insight Vision Inc.Group PAC ID 8123002276, 4 clinicians

Practice addresses (Care Compare)

1350 E Hickman Rd
Waukee, IA 50263-8137
Phone (515) 221-9195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8698TXMDGeneral Practice Dentistry
8698TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Inc. Optometrist CurrentSince Jan 8, 2019 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jan 2, 2021 Accepting new patients
Macali Eye Clinic, PA Optometrist CurrentSince Sep 6, 2016 Accepting new patients

Locations

1155 Winter Garden Vineland Rd
Ste 102
Winter Garden, FL 34787
Phone (407) 656-3755

1415 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 377-5343

1350 E Hickman Rd
Waukee, IA 50263
Phone (515) 221-9195

8611 Hillcrest Ave
Ste 140
Dallas, TX 75225
Phone (214) 739-8611

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1780065771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638137",
            "telephone_number": "515-221-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638137",
            "telephone_number": "515-221-9195",
            "fax_number": "515-221-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDUE",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8698T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ZINK",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.