Organization Active NPI

VKL Company

Doing business as Optica

  • Optician
  • Clive, IA
National Provider Identifier
1831225176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VKL COMPANY
Doing business as
Optica
Practice address
9998 Swanson Blvd
Clive, IA 50325-6903
Phone
(515) 226-0140
Fax
(515) 334-0037
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vladimir Malina
Title
President
Phone
(515) 226-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

9998 Swanson Blvd
Clive, IA 50325-6903

Mailing address

9998 Swanson Blvd
Clive, IA 50325-6903
Phone (515) 226-0140

Other identifiers 1

IdentifierTypeStateIssuer
0068254MedicaidIA

Other names 1

  • Optica Doing business as

National Provider Directory

National Provider Directory

Locations

9998 Swanson Blvd
Clive, IA 50325
Phone (515) 226-0140

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831225176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 SWANSON BLVD",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256903",
            "telephone_number": "515-226-0140",
            "fax_number": "515-334-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 SWANSON BLVD",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256903",
            "telephone_number": "515-226-0140",
            "fax_number": "515-334-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VKL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALINA",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-226-0140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068254",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.