NPIMap

Organization Active NPI

Iowa Eye PC

Doing business as Iowa Eye Center

  • Ophthalmology Physician
  • Cedar Rapids, IA
National Provider Identifier
1952356982
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
IOWA EYE PC
Doing business as
Iowa Eye Center
Practice address
1650 1St Ave NE
Cedar Rapids, IA 52402-5431
Phone
(319) 362-3937
Fax
(319) 362-2900
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Stephanie M Warkentin
Title
Director of Reimbursement
Phone
(319) 730-9340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1650 1St Ave NE
Cedar Rapids, IA 52402-5431

Mailing address

1650 1St Ave NE
Cedar Rapids, IA 52402-5431
Phone (319) 362-3937

Other identifiers 2

IdentifierTypeStateIssuer
06110OtherIABCBS OF IOWA
0079418MedicaidIA

Other names 1

  • IOWA EYE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000736 IA Part B Supplier - Clinic/Group Practice 2668361940 Receives reassigned benefits from 8 practitioners
Practice locations: Clinton, IA; Cedar Rapids, IA; Anamosa, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Iowa Eye PC

    dba Iowa Eye Center Optical

    • Eyewear Supplier
    • Cedar Rapids, IA
    • NPI 1710007406

    2668361940

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Iowa Eye Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1952356982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025431",
            "telephone_number": "319-362-3937",
            "fax_number": "319-362-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025431",
            "telephone_number": "319-362-3937",
            "fax_number": "319-362-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA EYE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "WARKENTIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "319-730-9340"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IOWA",
            "identifier": "06110",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079418",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IOWA EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IOWA EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.