SUDARSAN CHAVALA (NPI# 1023229549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023229549 |
| Entity Type | Organization |
| Organization Name | SUDARSAN CHAVALA |
| Other Organization Name | MARYVILLE EYE CLINIC |
| Practice Address |
102 E Adams St Suite 2 Mount Ayr IA 50854-1621 |
| Mailing Address |
2024 S Main St Maryville MO 64468 |
| Practice Telephone | 6414643700 |
| Practice Fax Number | 6414643700 |
| Mailing Telephone | 6605622566 |
| Mailing Fax Number | 6605622432 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DR. SUDARSAN CHAVALA (PHYSICIAN) |
| Authorized Official Telephone | 6414643700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYVILLE EYE CLINIC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 24705 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0949560 | 05 | |
| IA | BCBS OF IOWA | 29948 | 01 |
| Other Name | Type Code |
|---|---|
| maryville eye clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891906848 | Sudarsan Chavala | Ophthalmology | 1303 N 25th, Bethany, MO 64424 | 2007-05-24 |
| 1639292527 | Sudarsan Chavala | Eyewear Supplier (Equipment, not the service) | 2024 S Main St, Maryville, MO 64468-2655 | 2007-04-07 |
| Street Address |
102 E ADAMS ST SUITE 2 |
| City | MOUNT AYR |
| State | IA |
| Zip Code | 50854-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376629758 | David C Ahnen | Podiatrist | 102 E Adams St, Mount Ayr, IA 50854-1621 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068039 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 406 S. Hayes Street, Mount Ayr, IA 50854 | 2019-02-04 |
| 1205218112 | Kathleen Quinn Willcox | Family Medicine | Mount Ayr Medical Clinic, 504 N. Cleveland St, Mount Ayr, IA 50854 | 2015-06-26 |
| 1407944853 | Charles Collus Lawhead | Dentist | 104 So Taylor St, Mount Ayr, IA 50854 | 2006-10-11 |
| 1588738918 | Clearview Estates | Assisted Living Facility | 500 W Columbus St, Mount Ayr, IA 50854-1100 | 2006-11-18 |
| 1356414239 | Ringgold County Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 111 Ringgold St, Mount Ayr, IA 50854-1215 | 2006-11-16 |
| 1154356681 | Steven R Roe | Pharmacist | 211 Shellway Dr, Mount Ayr, IA 50854-1233 | 2006-07-12 |
| 1952485872 | Clearview-routh Lp | Skilled Nursing Facility | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2006-10-25 |
| 1912035833 | Clearview Homes | Home Delivered Meals | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2007-03-01 |
| 1700224714 | Dr. Robert H Sharp, PC | Optometrist | 102 N Fillmore St, Mount Ayr, IA 50854-1626 | 2013-06-12 |
| 1477505519 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 201 N Fillmore St, Mount Ayr, IA 50854-1627 | 2006-05-17 |
| Find all providers in zip 50854 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245658673 | Jordan Gross | Ophthalmology | 1223 S Gear Ave Ste 309, West Burlington, IA 52655-1694 | 2014-04-02 |
| 1083976880 | Reid Phillip Turner | Ophthalmology | Wolfe Eye Clinic, 6200 Westown Parkway, Des Moines, IA 50266 | 2012-06-08 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1992003677 | Virdi Eye Clinic of Iowa | Ophthalmology | 1015 13th Ave N, Clinton, IA 52732-3479 | 2011-03-04 |
| 1366604787 | Priya Gupta | Ophthalmology | 704 Westside Dr, Iowa City, IA 52246-4369 | 2008-06-26 |
| 1215124706 | Alex Kartvelishvili | Ophthalmology | 2225 Mormon Trek Blvd Ste 100, Iowa City, IA 52246-4407 | 2007-09-27 |
| 1306064324 | Brandt Michael Riley | Ophthalmology | Hwy 122, Mason City, IA 50402-1877 | 2007-04-23 |
| 1730280421 | Peter Rhee | Ophthalmology | 999 Home Plaza, Suite 101 Wolfe Eye Clinic, Waterloo, IA 50701 | 2006-09-26 |
| 1932200052 | Eye Associates Siouxland, P.l.c. | Ophthalmology | 2800 Pierce St Ste 404, Sioux City, IA 51104-3759 | 2006-09-25 |
| 1053416172 | Herbert Stanley Thompson | Ophthalmology | 2096 Kestrel Rdg Sw, Oxford, IA 52322-9111 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUDARSAN CHAVALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.