Mosaic Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOSAIC VISION CARE LLC

Practice address

2900 Heartland Dr
Coralville, IA 52241-2740

Phone

(319) 321-0776

NPI assigned

Sep 30, 2021

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin DiazNPI 1962839076

Title

Owner/Authorized Official

Phone

(319) 321-0776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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.

• Martin V Diaz, O.D.

  • Optometrist
  • Roanoke, VA
  • NPI 1962839076

  IA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1922770619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HEARTLAND DR",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HEARTLAND DR",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412740",
            "telephone_number": "319-321-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "319-321-0776",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Kay Montross, MS, RD, LD
• Joe Moonjely, MD
• Danielle Moore, NP-C
• Allison Mormann
• Margaret Morris, TLMHC
• Lydia Mossman, LISW
• Kristen Muleya, PHD
• Joseph Mungai, LMSW, CADC
• Laura M Murphy Platt, DC
• Meegan Anne Murphy, FNP

• Optometrist in Coralville, IA
• Providers in Coralville, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.