NPIMap

Organization Active NPI

Iowa Eye Institute PC

  • Ambulatory Surgical Clinic/Center
  • Spencer, IA
National Provider Identifier
1831198191
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
IOWA EYE INSTITUTE PC
Practice address
1721 W 18TH St
Spencer, IA 51301-2827
Phone
(712) 262-8878
Fax
(712) 262-8807
NPI assigned
Jul 19, 2005
Last updated
Sep 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Dennis D Gordy, MDNPI 1215935754
Title
President
Phone
(712) 262-8878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1721 W 18TH St
Spencer, IA 51301-2827

Mailing address

PO Box 420
1721 W 18TH St
Spencer, IA 51301-0420
Phone (712) 262-8878

Other identifiers 2

IdentifierTypeStateIssuer
61004OtherIAWELLMARK
0610048MedicaidIA

National Provider Directory

National Provider Directory

Locations

1721 W 18th St
Spencer, IA 51301
Phone (712) 262-8878

Practitioners & affiliated clinicians

Practitioners 3

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1831198191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "address_2": "1721 W 18TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513010420",
            "telephone_number": "712-262-8878",
            "fax_number": "712-262-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W 18TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012827",
            "telephone_number": "712-262-8878",
            "fax_number": "712-262-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "GORDY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-262-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "61004",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610048",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.