Active NPI
Optometric Center of Charles City PC
- Optometrist
- Charles City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- OPTOMETRIC CENTER OF CHARLES CITY PC
- Practice address
- 800 Clark St
Charles City, IA 50616-2218 - Phone
- (641) 228-1732
- Fax
- (641) 228-2434
- NPI assigned
- Aug 26, 2005
- Last updated
- Jun 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradley Jason Ellingson, OD
- Title
- President
- Phone
- (641) 228-1732
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
800 Clark St
Charles City, IA 50616-2218
Mailing address
800 Clark St
Charles City, IA 50616-2218
Phone (641) 228-1732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0458463 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Optometric Center of Charles Ci | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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
- Charles City, IA
- NPI 1598102600
-
- Optometrist
- Charles City, IA
- NPI 1568455319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1972596732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CLARK ST",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506162218",
"telephone_number": "641-228-1732",
"fax_number": "641-228-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CLARK ST",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506162218",
"telephone_number": "641-228-1732",
"fax_number": "641-228-2434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTOMETRIC CENTER OF CHARLES CITY PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "ELLINGSON",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-228-1732",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0458463",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charles City, IA
- Norma M Breitbach (Breitbach Chiropractic Office)
- North Iowa Mercy Clinics (Mercy Family Clinic Charles City ARNPs)
- North Iowa Mercy Clinics (Mercy Family Care Charles City)
- Lynn Obrien, MA/CCC-SLP
- Curtis David Opp, OD
- Denise M Pavlovich, RPH
- Patrick Pierce, PHARMD
- Lucas James Pogemiller, D.C.
- Becky Ann Prostine, MPH, RDLD
- Quality Medical Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.