Active NPI
Spencer Total Family Eyecare, P.C.
- Optometrist
- Spencer, IA
National Provider Identifier
1841603271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SPENCER TOTAL FAMILY EYECARE, P.C.
- Practice address
- 110 W 4TH St
Spencer, IA 51301-3858 - Phone
- (712) 262-3331
- Fax
- (712) 262-6885
- NPI assigned
- Jun 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amanda Ann Winterboer, O.D.
- Title
- Optometrist/ Owner
- Phone
- (712) 262-3331
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
110 W 4TH St
Spencer, IA 51301-3858
Mailing address
110 W 4TH St
PO Box 243
Spencer, IA 51301-3858
Phone (712) 262-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
110 W 4th St
Spencer, IA 51301
Phone (712) 262-3331
1104 W 18th St
Spencer, IA 51301
Phone (712) 262-3331
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Spencer, IA
- NPI 1154634780
-
- Optometrist
- Spencer, IA
- NPI 1447242086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1841603271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 4TH ST",
"address_2": "PO BOX 243",
"city": "SPENCER",
"state": "IA",
"postal_code": "513013858",
"telephone_number": "712-262-3331",
"fax_number": "712-262-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 4TH ST",
"city": "SPENCER",
"state": "IA",
"postal_code": "513013858",
"telephone_number": "712-262-3331",
"fax_number": "712-262-6885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPENCER TOTAL FAMILY EYECARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-03",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "WINTERBOER",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
"authorized_official_telephone_number": "712-262-3331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 18, 2014; 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.