Eye Associates Siouxland, P.L.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

28135 Issued in IA

Legal business name

EYE ASSOCIATES SIOUXLAND, P.L.C.

Practice address

2800 Pierce St Ste 404
Sioux City, IA 51104-3759

Phone

(712) 233-1529

Fax

(712) 233-2040

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By 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

Mrs. Becky Marsh

Title

Insurance Manager

Phone

(712) 233-1529

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Michael G Wadzinski, M.D.

  • Ophthalmology Physician
  • Sioux City, IA
  • NPI 1982674297
  NPD (past)
• Beth K Bruening, M.D.

  • Ophthalmology Physician
  • Dakota Dunes, SD
  • NPI 1467423517
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932200052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PIERCE ST STE 404",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043759",
            "telephone_number": "712-233-1529",
            "fax_number": "712-233-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PIERCE ST STE 404",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043759",
            "telephone_number": "712-233-1529",
            "fax_number": "712-233-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES SIOUXLAND, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "712-233-1529",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "28135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134510",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "52550",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eloisa Estrada, CADC
• Evan Ruterbories DC PC
• Katherine Ann Evans, DO
• Ashley Marie Ewoldt
• Jim Edwin Ewoldt
• Eyemart Express LLC
• Eyemart Express, LTD.
• Michelle Ann Faber, PHARMD
• Renee Ann Fagen, PSY.D.
• Family Access Center

• Ophthalmology Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Ophthalmology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.