Organization Active NPI

River Cities Ophthalmology, P.C.

  • Ophthalmology Physician
  • Keokuk, IA
National Provider Identifier
1881952000
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29979 Issued in IA
Legal business name
RIVER CITIES OPHTHALMOLOGY, P.C.
Practice address
1610 Morgan St
Suite 4
Keokuk, IA 52632-3421
Phone
(319) 524-4422
Fax
(319) 524-4427
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Brenda Lea Parker, CPC, OCS, CPC-P
Title
Systems Administration
Phone
(319) 372-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 29979 IA Primary

Addresses

Primary practice location

1610 Morgan St
Suite 4
Keokuk, IA 52632-3421

Mailing address

5409 Avenue O
Suite 118
Fort Madison, IA 52627-9602
Phone (319) 372-9292

National Provider Directory

National Provider Directory

Locations

5409 Avenue O
Ste 118
Fort Madison, IA 52627
Phone (319) 372-9292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1881952000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "address_2": "SUITE 118",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279602",
            "telephone_number": "319-372-9292",
            "fax_number": "319-372-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MORGAN ST",
            "address_2": "SUITE 4",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323421",
            "telephone_number": "319-524-4422",
            "fax_number": "319-524-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITIES OPHTHALMOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "SYSTEMS ADMINISTRATION",
        "authorized_official_telephone_number": "319-372-9292",
        "authorized_official_credential": "CPC, OCS, CPC-P"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "29979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.