Organization Active NPI

Courtney Eye Care, P.C.

  • Optometrist
  • Durant, IA
National Provider Identifier
1811947849
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2013 Issued in IA
Legal business name
COURTNEY EYE CARE, P.C.
Practice address
409 8TH Ave
Durant, IA 52747
Phone
(563) 785-4497
Fax
(563) 785-4607
NPI assigned
May 11, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Carla S Courtney, O.D.NPI 1801845581
Title
President/Owner
Phone
(563) 785-4497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2013 IA Primary

Addresses

Primary practice location

409 8TH Ave
Durant, IA 52747

Mailing address

PO Box 37
Durant, IA 52747-0037
Phone (563) 785-4497

Other identifiers 1

IdentifierTypeStateIssuer
0465294MedicaidIA

National Provider Directory

National Provider Directory

Locations

320 W Kimberly Rd
#227
Davenport, IA 52806
Phone (563) 388-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1811947849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "527470037",
            "telephone_number": "563-785-4497",
            "fax_number": "563-785-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 8TH AVE",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "52747",
            "telephone_number": "563-785-4497",
            "fax_number": "563-785-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "563-785-4497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465294",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.