NPIMap

Organization Active NPI

Absolute Vision Care PC

  • Optometrist
  • Creston, IA
National Provider Identifier
1811900871
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02337 Issued in IA
Legal business name
ABSOLUTE VISION CARE PC
Practice address
1367 Timberlake Ave
Creston, IA 50801-8193
Phone
(641) 414-7799
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Kathryn R McCampbell, O.D.
Title
Director
Phone
(641) 414-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02337 IA Primary

Addresses

Primary practice location

1367 Timberlake Ave
Creston, IA 50801-8193

Mailing address

1367 Timberlake Ave
Creston, IA 50801-8193
Phone (641) 414-7799

Other identifiers 7

IdentifierTypeStateIssuer
23187OtherTRICARE AT VALLEY WEST
23187OtherWELLMARK AT VALLEY WEST
23189OtherTRICARE AT MERLE HAY
IA2337OtherEYE MED
42585OtherSPECTARA
41142OtherAVESIS
23189OtherWELLMARK AT MERLE HAY

National Provider Directory

National Provider Directory

Locations

1551 Valley West Dr
Ste 200
West Des Moines, IA 50266
Phone (515) 223-2545

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1811900871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 TIMBERLAKE AVE",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508018193",
            "telephone_number": "641-414-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 TIMBERLAKE AVE",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508018193",
            "telephone_number": "641-414-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE VISION CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MCCAMPBELL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-414-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE AT VALLEY WEST",
            "identifier": "23187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK AT VALLEY WEST",
            "identifier": "23187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE AT MERLE HAY",
            "identifier": "23189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "IA2337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTARA",
            "identifier": "42585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "41142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK AT MERLE HAY",
            "identifier": "23189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.