Active NPI
Harlan Eye Care PC
- Optometrist
- Harlan, IA
National Provider Identifier
1851960652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HARLAN EYE CARE PC
- Practice address
- 620 Market St
Harlan, IA 51537-1412 - Phone
- (712) 755-2020
- NPI assigned
- Jun 24, 2021
- 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
- Rachel Vandekop
- Title
- Practice Manager
- Phone
- (712) 490-4658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
620 Market St
Harlan, IA 51537-1412
Mailing address
105 Gaul Dr
Sergeant Bluff, IA 51054-8963
Other names 1
- DR. JAYS FAMILY EYE CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210924001941 | IA | Part B Supplier - Clinic/Group Practice | 5193122729 |
Receives reassigned benefits from 2 practitioners Practice locations: Harlan, IA |
National Provider Directory
National Provider DirectoryLocations
712 Durant St
Harlan, IA 51537
Phone (712) 755-2020
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sergeant Bluff, IA
- NPI 1376071811
-
- Optometrist
- Sergeant Bluff, IA
- NPI 1437311792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1851960652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 GAUL DR",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510548963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 MARKET ST",
"city": "HARLAN",
"state": "IA",
"postal_code": "515371412",
"telephone_number": "712-755-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARLAN EYE CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "VANDEKOP",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "712-490-4658"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DR. JAYS FAMILY EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.