Soults Family Eyecare P.L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOULTS FAMILY EYECARE P.L.L.C.

Doing business as

Heartland Family Eyecare

Practice address

1250 NW 128TH Street
Suite 150
Clive, IA 50325-7432

Phone

(515) 223-9595

Fax

(515) 223-9792

NPI assigned

Jul 15, 2021

Last updated

Sep 15, 2023By 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. Kelly Joy Soults, DONPI 1932189354

Title

Owner

Phone

(515) 223-9595

Specialties & licenses 1

Addresses

Other names 1

• Heartland Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Kelly Joy Soults, O.D.

  • Optometrist
  • Clive, IA
  • NPI 1932189354
  Medicare reassignment Care Compare group NPD Authorized official
• Morgan Elizabeth Wichman, OD

  • Optometrist
  • Ankeny, IA
  • NPI 1003460734
  Medicare reassignment Care Compare group NPD
• Teri Shepherd, O.D

  • Optometrist
  • Urbandale, IA
  • NPI 1538457072
  Medicare reassignment NPD
• Kevin R Snodgrass, O.D.

  • Optometrist
  • Clive, IA
  • NPI 1750361176
  NPD
• Jane A Snodgrass, O.D.

  • Optometrist
  • Clive, IA
  • NPI 1184608499
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1942872205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH ST STE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257433",
            "telephone_number": "515-223-9595",
            "fax_number": "515-223-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH STREET",
            "address_2": "SUITE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257432",
            "telephone_number": "515-223-9595",
            "fax_number": "515-223-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULTS FAMILY EYECARE P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "SOULTS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-223-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Snodgrass Family Eyecare, PLLC
• Jane A Snodgrass, O.D.
• Kevin R Snodgrass, O.D.
• Soma, LLC (SOMA Cosmetic Surgery & Aesthetics)
• Cody Soulinthavong
• Kelly Joy Soults, O.D.
• Spanish Communication Services LLC
• Spectrum Prosthetics & Orthotics, Inc
• SRG Counseling and Assessment Services, LLC
• Keith Staley, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.