Active NPI
Eyecare Partners, P.C.
Doing business as Penn Central Eye Clinic
- Optometrist
- Oskaloosa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYECARE PARTNERS, P.C.
- Doing business as
- Penn Central Eye Clinic
- Practice address
- 200 High Ave W
Oskaloosa, IA 52577-2753 - Phone
- (641) 673-9263
- NPI assigned
- Apr 18, 2006
- Last updated
- Dec 13, 2012
- Organization subpart
- Yes
- Parent organization
- EYECARE PARTNERS, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ralph Dehaan, O.D.
- Title
- President
- Phone
- (641) 628-9225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
200 High Ave W
Oskaloosa, IA 52577-2753
Mailing address
200 High Ave W
Oskaloosa, IA 52577-2753
Phone (641) 673-9263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0169862 | Medicaid | IA |
Other names 1
- Penn Central Eye Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319000956 | IA | Part B Supplier - Clinic/Group Practice | 0749170850 |
Receives reassigned benefits from 7 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Des Moines, IA; Pella, IA; West Des Moines, IA; Ames, IA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Eyecar Partners PC
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Optometrist
- Pella, IA
- NPI 1790763811
-
- Optometrist
- Pella, IA
- NPI 1750643847
-
- Optometrist
- Des Moines, IA
- NPI 1619126307
-
- Optometrist
- Oskaloosa, IA
- NPI 1083692214
-
- Optometrist
- Pella, IA
- NPI 1982682118
-
- Optometrist
- Fort Collins, CO
- NPI 1063862126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355356800000",
"number": "1942265467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH AVE W",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525772753",
"telephone_number": "641-673-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGH AVE W",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525772753",
"telephone_number": "641-673-9263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE PARTNERS, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EYECARE PARTNERS, P.C.",
"enumeration_date": "2006-04-18",
"last_updated": "2012-12-13",
"status": "A",
"authorized_official_last_name": "DEHAAN",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-628-9225",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0169862",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Penn Central Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.