J.M. Tempel O.D. P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01681 Issued in IA

Legal business name

J.M. TEMPEL O.D. P.C.

Doing business as

1st Vision Center

Practice address

1952 Plymouth Ave
Waterloo, IA 50702-3524

Phone

(319) 236-9600

Fax

(319) 236-0605

NPI assigned

Jan 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Martin Temple, O.D.

Title

Owner

Phone

(319) 236-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 1st Vision Center Doing business as

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1841538733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 PLYMOUTH AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507023524",
            "telephone_number": "319-236-9600",
            "fax_number": "319-236-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 PLYMOUTH AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507023524",
            "telephone_number": "319-236-9600",
            "fax_number": "319-236-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.M. TEMPEL O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-236-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161679IA",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medicial Foundation
• Branden Y Itotani, DPM
• Sarvenaz Jabbari, M.D.
• Hannah Jackley, BCBA, LBA
• Albert Jerome Jackson Jr., MD
• Aubrey Nicole Jackson
• Clara Jackson

• Optometrist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.