NPIMap

Organization Active NPI

State University of Iowa

Doing business as UI Optical at Iowa River Landing

  • Eyewear Supplier
  • Coralville, IA
National Provider Identifier
1861885071
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
STATE UNIVERSITY OF IOWA
Doing business as
UI Optical at Iowa River Landing
Practice address
105 E 9TH St
Ste 2400
Coralville, IA 52241-2209
Phone
(319) 467-2125
Fax
(319) 467-2128
NPI assigned
Mar 12, 2015
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Mark E Wilkinson, OD
Title
Optician
Phone
(319) 467-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

105 E 9TH St
Ste 2400
Coralville, IA 52241-2209

Mailing address

105 E 9TH St
Ste 2400
Coralville, IA 52241-2209
Phone (319) 467-2125

Other names 1

  • UI Optical at Iowa River Landing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ of Ia Hosps Clins57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

105 E 9th St
Ste 2400
Coralville, IA 52241
Phone (319) 467-2125

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1861885071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 9TH ST",
            "address_2": "STE 2400",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412209",
            "telephone_number": "319-467-2125",
            "fax_number": "319-467-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 9TH ST",
            "address_2": "STE 2400",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412209",
            "telephone_number": "319-467-2125",
            "fax_number": "319-467-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "319-467-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UI Optical at Iowa River Landing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.