Organization Active NPI

Family Eyehealth Center LLC

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1902457153
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYEHEALTH CENTER LLC
Practice address
6004 SW 9TH St
Des Moines, IA 50315-5011
Phone
(515) 287-0820
NPI assigned
Sep 27, 2019
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Rebecca Jean Gleason
Title
Business Administrator
Phone
(818) 387-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

6004 SW 9TH St
Des Moines, IA 50315-5011

Mailing address

6004 SW 9TH St
Des Moines, IA 50315-5011
Phone (515) 287-0820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fehcenter@qwestoffice.net

National Provider Directory

National Provider Directory

Locations

6004 SW 9th St
Des Moines, IA 50315
Phone (515) 287-0820

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1902457153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155011",
            "telephone_number": "515-287-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155011",
            "telephone_number": "515-287-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYEHEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "818-387-0820"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fehcenter@qwestoffice.net",
            "affiliation": "N",
            "address_1": "6004 SW 9th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503155011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.