NPIMap

Organization Active NPI

Eye Care of Iowa P.C.

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1972535722
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE OF IOWA P.C.
Practice address
2566 Hubbell Ave
Des Moines, IA 50317-6102
Phone
(515) 262-1094
NPI assigned
Jul 6, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Bernard E LeeNPI 1821047036
Title
Secretayr
Phone
(515) 262-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 9

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

National Provider Directory

National Provider Directory

Locations

2566 Hubbell Ave
Des Moines, IA 50317
Phone (515) 262-1094

200 Army Post Rd
Des Moines, IA 50315
Phone (515) 287-5565

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2566 Hubbell Ave
Des Moines, IA 50317-6102

Mailing address

2566 Hubbell Ave
Des Moines, IA 50317-6102

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0416917MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2008.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1972535722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 HUBBELL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HUBBELL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176102",
            "telephone_number": "515-262-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF IOWA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETAYR",
        "authorized_official_telephone_number": "515-262-1094",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "0416917",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.