Organization Active NPI

River Cities Ophthalmology, P.C.

  • Ophthalmology Physician
  • Fort Madison, IA
National Provider Identifier
1831143510
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RIVER CITIES OPHTHALMOLOGY, P.C.
Practice address
5409 Avenue O
Suite 118
Fort Madison, IA 52627-9601
Phone
(319) 372-9292
Fax
(319) 372-3025
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Mrs. Debbie Cutler
Title
Office Administrator
Phone
(319) 372-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5409 Avenue O
Suite 118
Fort Madison, IA 52627-9601

Mailing address

5409 Avenue O
Suite 118
Fort Madison, IA 52627-9601
Phone (319) 372-9292

Other identifiers 1

IdentifierTypeStateIssuer
0429787MedicaidIA

Other names 1

  • Jonathan Cutler M.D. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000564 IA Part B Supplier - Clinic/Group Practice 3476445263 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, IA; Fort Madison, IA; Keokuk, IA

National Provider Directory

National Provider Directory

Locations

320 N 3rd St
Ste 200
Burlington, IA 52601
Phone (319) 752-2020

1610 Morgan St
Ste 4
Keokuk, IA 52632
Phone (319) 524-1431

1223 S Gear Ave
Ste 307
West Burlington, IA 52655
Phone (319) 752-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1831143510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "address_2": "SUITE 118",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279601",
            "telephone_number": "319-372-9292",
            "fax_number": "319-372-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "address_2": "SUITE 118",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279601",
            "telephone_number": "319-372-9292",
            "fax_number": "319-372-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITIES OPHTHALMOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "319-372-9292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429787",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Cutler M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.