Organization Active NPI

Lovik Family Eyecare, P.C.

  • Optometrist
  • Mason City, IA
National Provider Identifier
1780789537
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2098 Issued in IA
Legal business name
LOVIK FAMILY EYECARE, P.C.
Practice address
4151 4TH St SW
Mason City, IA 50401-7346
Phone
(641) 423-8431
Fax
(641) 423-8433
NPI assigned
Sep 14, 2006
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Brenda S. Lovik, O.D.
Title
President
Phone
(641) 423-8431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2098 IA Primary

Addresses

Primary practice location

4151 4TH St SW
Mason City, IA 50401-7346

Mailing address

4151 4TH St SW
Mason City, IA 50401-7346
Phone (641) 423-8431

Other identifiers 1

IdentifierTypeStateIssuer
56401OtherIABLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070620000424 IA Part B Supplier - Clinic/Group Practice 1557460300 Receives reassigned benefits from 1 practitioner
Practice locations: Mason City, IA

National Provider Directory

National Provider Directory

Locations

4151 4th St SW
Mason City, IA 50401
Phone (641) 423-3494

Practitioners & affiliated clinicians

Practitioners 1

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1780789537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504017346",
            "telephone_number": "641-423-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504017346",
            "telephone_number": "641-423-8431",
            "fax_number": "641-423-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVIK FAMILY EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "LOVIK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-423-8431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "56401",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.