ELLINGSON EYECARE, INC. (NPI# 1467651372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467651372 |
| Entity Type | Organization |
| Organization Name | ELLINGSON EYECARE, INC. |
| Practice Address |
1451 Coral Ridge Ave Ste 518 Coralville IA 52241-2805 |
| Practice Telephone | 3194660644 |
| Practice Fax Number | 3194660330 |
| Mailing Telephone | 3194660644 |
| Mailing Fax Number | 3194660330 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | LARRY D ELLINGSON (OWNER) |
| Authorized Official Telephone | 3194660644 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MIDLAND'S CHOICE | 244542 | 01 |
| IA | 259168 | 05 | |
| IA | WELLMARK BLUE CROSS BLUE | 45844 | 01 |
| IA | AVESIS | 25241 | 01 |
| IA | EYEMED | 130740 | 01 |
| Street Address |
1451 CORAL RIDGE AVE STE 518 |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619480951 | Coralville Eye Associates, Inc | Optometrist | 1451 Coral Ridge Ave Ste 518, Coralville, IA 52241-2805 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1568610087 | Amber Aria | Optometrist | 2900 Heartland Dr, Coralville, IA 52241-2740 | 2008-09-09 |
| 1497765457 | Jason Pfeifer | Optometrist | 2056 8th St, Coralville, IA 52241-1502 | 2006-08-09 |
| 1831159169 | Larry D. Ellingson | Optometrist | 1451 Coral Ridge Ave, Coralville, IA 52241-2805 | 2006-03-23 |
| 1285608018 | Marlin Arthur Veatch | Optometrist | 2441 Coral Ct, Suite #5, Coralville, IA 52241-2872 | 2006-02-16 |
| 1982676300 | Sara L Butterworth | Optometrist | 2345 Mulberry St, Unit 5, Coralville, IA 52241-3385 | 2006-02-02 |
| 1619480951 | Coralville Eye Associates, Inc | Optometrist | 1451 Coral Ridge Ave Ste 518, Coralville, IA 52241-2805 | 2017-11-08 |
| 1508179458 | Veatch Eye Care, P.C. | Optometrist | 2441 Coral Ct, Suite #5, Coralville, IA 52241-2872 | 2010-07-21 |
| 1003128877 | Erin Marie Wu | Optometrist | 1451 Coral Ridge Ave, Suite 104, Coralville, IA 52241-2801 | 2010-07-09 |
| 1770775660 | Kain Family Eye Care PC | Optometrist | 1451 Coral Ridge Ave, Suite 104, Coralville, IA 52241-2802 | 2007-08-14 |
| Find all providers in CORALVILLE | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
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| 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.