Organization Active NPI

Eye Care Optical, LLC

  • Eyewear Supplier
  • Ames, IA
National Provider Identifier
1891847349
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CARE OPTICAL, LLC
Practice address
2020 Philadelphia St
Ames, IA 50010-8772
Phone
(515) 663-4800
Fax
(515) 663-4818
NPI assigned
Jan 17, 2007
Organization subpart
Yes
Parent organization
CLINIC INVESTMENTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Denny L Starr
Title
Cfo
Phone
(641) 754-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2020 Philadelphia St
Ames, IA 50010-8772

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other identifiers 1

IdentifierTypeStateIssuer
0143917MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930015769 IA DME Supplier - Physician - Optometrist 8123148152 Practice locations: Ames, 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
Eye Care Optical2020 Philadelphia St, Ames, IA 50010-8772(515) 232-2450 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Optical LLC4 organizations share this tax ID, including this one
Part of
Clinic Investments Inc

Other organizations with this tax ID 3

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

Locations

2020 Philadelphia St
Ames, IA 50010
Phone (515) 232-2450

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1891847349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200",
            "fax_number": "641-754-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PHILADELPHIA ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108772",
            "telephone_number": "515-663-4800",
            "fax_number": "515-663-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OPTICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINIC INVESTMENTS INC",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-754-6200"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143917",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

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