Angela Raye Tekippe, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002460 Issued in IA

Practice address

3800 Merle Hay Rd
Suite 906
Des Moines, IA 50310-1305

Phone

(515) 278-2368

Fax

(515) 278-2955

NPI assigned

Jul 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1861621112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MERLE HAY RD",
            "address_2": "SUITE 906",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101305",
            "telephone_number": "515-278-2368",
            "fax_number": "515-278-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MERLE HAY RD",
            "address_2": "SUITE 906",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101305",
            "telephone_number": "515-278-2368",
            "fax_number": "515-278-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKIPPE",
        "first_name": "ANGELA",
        "middle_name": "RAYE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.