Eyesite

Primary specialty

OptometristTaxonomy code 152W00000X

License

02165 Issued in IA

Legal business name

EYESITE

Practice address

1314 9TH St SE
Dyersville, IA 52040-2333

Phone

(563) 875-2344

Fax

(563) 875-2344

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rachel V Mortenson, O.D.

Title

Partner

Phone

(563) 875-2344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1801047063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 9TH ST SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402333",
            "telephone_number": "563-875-2344",
            "fax_number": "563-875-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 9TH ST SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402333",
            "telephone_number": "563-875-2344",
            "fax_number": "563-875-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "563-875-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaware County Memorial Hospital (Regional Family Health Dyersville)
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• Elite Dental, P.C.
• Daniel George Engelbrecht, DDS
• Emad M Fahmy, MD
• Libby A Felton, PTA
• William John George, DDS
• Hartig Drug Co Corp
• Michelle Hinrichs, PHARMD

• Optometrist in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.