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
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

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.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2566 Hubbell Ave
Des Moines, IA 50317-6102

Mailing address

2566 Hubbell Ave
Des Moines, IA 50317-6102

Other identifiers 1

IdentifierTypeStateIssuer
0416917MedicaidIA

National Provider Directory

National Provider Directory

Locations

2574 Hubbell Ave
Ste 111
Des Moines, IA 50317
Phone (515) 262-1094

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "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": "",
            "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.