Lease Eye MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

31091 Issued in IA

Legal business name

LEASE EYE MD PC

Practice address

405 S Clark St
Suite 220
Carroll, IA 51401-3065

Phone

(712) 792-8255

Fax

(712) 792-8256

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Lou Ann Kiessling, M.D.

Title

Owner

Phone

(712) 792-8255

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ST ANTHONY EYE CLINIC Doing business as

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1821239005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "SUITE 220",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013065",
            "telephone_number": "712-792-8255",
            "fax_number": "712-792-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "SUITE 220",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013065",
            "telephone_number": "712-792-8255",
            "fax_number": "712-792-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEASE EYE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "KIESSLING",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-792-8255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "31091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1139030",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45445",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST ANTHONY EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Krause
• Ann M.K. Lander, M.S.W.
• Mikala Anne Landon, ARNP
• Robert Langenfeld, M.D.
• Jordan Paige Lawson
• Jessica Leeds, MSN. ARNP, FNP-BC
• Tthomas Charles Lehman, RPH
• Deann Dorothy Leiting, LMSW
• Lincoln Highway Pharmacy, Inc.
• Lincoln Highway Pharmacy, Inc.

• Ophthalmology Physician in Carroll, IA
• Providers in Carroll, IA by specialty
• Ophthalmology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.