Active NPI
Woodland Eye Clinic, PC
- Optometrist
- Guttenberg, IA
National Provider Identifier
1871637736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1715
- Legal business name
- WOODLAND EYE CLINIC, PC
- Practice address
- 606 S River Park Dr
Guttenberg, IA 52052-9339 - Phone
- (563) 252-3041
- Fax
- (563) 252-3041
- NPI assigned
- Feb 16, 2007
- Last updated
- Feb 26, 2024
- 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
- Patrice Hinecker, REVCYLE
- Title
- Credentialing
- Phone
- (316) 247-9771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1715 | IA | Primary |
Addresses
Primary practice location
606 S River Park Dr
Guttenberg, IA 52052-9339
Mailing address
PO Box 100
Elkader, IA 52043-0100
Phone (563) 245-2304
National Provider Directory
National Provider Directory- Tax ID family
- Elkader Eye Care PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Woodland Eye Clinic of West Union
- Optometrist
- West Union, IA
- NPI 1023878485
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Manchester, IA
- NPI 1699784868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1871637736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "ELKADER",
"state": "IA",
"postal_code": "520430100",
"telephone_number": "563-245-2304",
"fax_number": "563-245-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 S RIVER PARK DR",
"city": "GUTTENBERG",
"state": "IA",
"postal_code": "520529339",
"telephone_number": "563-252-3041",
"fax_number": "563-252-3041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLAND EYE CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "HINECKER",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "316-247-9771",
"authorized_official_credential": "REVCYLE"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guttenberg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.