Organization Active NPI

Osceola Vision Center P.C.

Doing business as Osceola Vision Center, Chariton Vision Center, Ottumwa Eye Care

  • Optometrist
  • Osceola, IA
National Provider Identifier
1891832788
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1933 Issued in IA
Legal business name
OSCEOLA VISION CENTER P.C.
Doing business as
Osceola Vision Center, Chariton Vision Center, Ottumwa Eye Care
Practice address
147 S Main St
Osceola, IA 50213-1218
Phone
(641) 774-7507
Fax
(641) 774-0466
NPI assigned
Jan 31, 2007
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
OSCEOLA VISION CENTER P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Dr. David C Hoadley, O.D.NPI 1639153059
Title
Owner
Phone
(641) 342-2737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1933 IA Primary

Addresses

Primary practice location

147 S Main St
Osceola, IA 50213-1218

Mailing address

131 N Main St
Chariton, IA 50049-1270
Phone (641) 342-2737

Other names 1

  • Osceola Vision Center, Chariton Vision Center, Ottumwa Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040401000632 IA Part B Supplier - Clinic/Group Practice 9537151261 Receives reassigned benefits from 3 practitioners
Practice locations: Chariton, IA; Osceola, IA; Ottumwa, IA
O20100930038041 IA DME Supplier - Physician - OptometristDME Supplier - Optician 9537151261 Practice locations: Osceola, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Osceola Vision Center147 S Main St, Osceola, IA 50213-1218(641) 342-2737 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Osceola Vision Center PC3 organizations share this tax ID, including this one
Part of
Osceola Vision Center PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

147 S Main St
Osceola, IA 50213
Phone (641) 342-2737

816 Albia Rd
Ottumwa, IA 52501
Phone (641) 682-9816

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1891832788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N MAIN ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491270",
            "telephone_number": "641-342-2737",
            "fax_number": "641-342-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131218",
            "telephone_number": "641-774-7507",
            "fax_number": "641-774-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA VISION CENTER P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSCEOLA VISION CENTER P.C.",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "HOADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-342-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osceola Vision Center, Chariton Vision Center, Ottumwa Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.