NPIMap

Organization Active NPI

Vision Care Clinic PC

  • Optometrist
  • Onawa, IA
National Provider Identifier
1912951997
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE CLINIC PC
Practice address
721 10TH St
Onawa, IA 51040-1128
Phone
(712) 423-2737
Fax
(712) 423-1685
NPI assigned
May 22, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Scott A Bowker, ODNPI 1891742383
Title
Co President
Phone
(712) 263-2020

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 Primary

Addresses

Primary practice location

721 10TH St
Onawa, IA 51040-1128

Mailing address

721 10TH St
Onawa, IA 51040-1128
Phone (712) 423-2737

Other identifiers 4

IdentifierTypeStateIssuer
0218289MedicaidIA
17991OtherIAWELLMARK
42149719OtherIACOMMERCIAL
A004235OtherIACHAMPUS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000966 IA Part B Supplier - Clinic/Group Practice 8325931223 Receives reassigned benefits from 9 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux City, IA; Denison, IA; Onawa, IA; Moville, IA; Missouri Valley, IA; Manning, IA; Mapleton, IA; Council Bluffs, IA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

200 S 29th St
Council Bluffs, IA 51501
Phone (712) 322-7912

201 N Main St
Denison, IA 51442
Phone (712) 263-2020

907 Iowa Ave
#2875
Onawa, IA 51040

Practitioners & affiliated clinicians

Practitioners 8

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1912951997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 10TH ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401128",
            "telephone_number": "712-423-2737",
            "fax_number": "712-423-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 10TH ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401128",
            "telephone_number": "712-423-2737",
            "fax_number": "712-423-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BOWKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO PRESIDENT",
        "authorized_official_telephone_number": "712-263-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218289",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "17991",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "42149719",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A004235",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onawa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.