Organization Active NPI

Erin R Wilkens, O.D., P.C.

  • Optometrist
  • Johnston, IA
National Provider Identifier
1992952808
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02271 Issued in IA
Legal business name
ERIN R WILKENS, O.D., P.C.
Practice address
5525 Merle Hay Rd
Suite 155
Johnston, IA 50131-1444
Phone
(515) 259-9009
Fax
(515) 259-9001
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. Erin R Wilkens, O.D.NPI 1629035290
Title
President
Phone
(515) 259-9009

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02271 IA Primary

Addresses

Primary practice location

5525 Merle Hay Rd
Suite 155
Johnston, IA 50131-1444

Mailing address

5525 Merle Hay Rd
Suite 155
Johnston, IA 50131-1444
Phone (515) 259-9009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000190 IA Part B Supplier - Clinic/Group Practice 5496763617 Receives reassigned benefits from 1 practitioner
Practice locations: Johnston, IA

National Provider Directory

National Provider Directory

Locations

5525 Merle Hay Rd
Ste 155
Johnston, IA 50131
Phone (515) 259-9009

Practitioners & affiliated clinicians

Practitioners 3

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1992952808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 MERLE HAY RD",
            "address_2": "SUITE 155",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311444",
            "telephone_number": "515-259-9009",
            "fax_number": "515-259-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MERLE HAY RD",
            "address_2": "SUITE 155",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311444",
            "telephone_number": "515-259-9009",
            "fax_number": "515-259-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN R WILKENS, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-259-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.