EYE STATE OPTOMETRY, LLC (NPI# 1477037000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477037000 |
| Entity Type | Organization |
| Organization Name | EYE STATE OPTOMETRY, LLC |
| Practice Address |
3105 Grand Ave Ames IA 50010-4604 |
| Mailing Address |
101 Cyclone Ln Madrid IA 50156-7610 |
| Practice Telephone | 5154418127 |
| Mailing Telephone | 5152930708 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MALLORI PHILLIPS (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 5152930708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | EYE STATE OPTOMETRY, LLC | 101 Cyclone Lane, Madrid, IA 50156 |
| Street Address |
3105 GRAND AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023035409 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3105 Grand Ave, Ames, IA 50010-4604 | 2006-07-16 |
| 1396393666 | Mary Patricia Goebel | Pharmacist | 3105 Grand Ave, Ames, IA 50010-4604 | 2019-08-29 |
| 1275094245 | Jeannine C Vaske | Pharmacist | 3105 Grand Ave, Ames, IA 50010-4604 | 2019-03-30 |
| 1023575859 | Daniel Joe Huisenga | Pharmacist | 3105 Grand Ave, Ames, IA 50010-4604 | 2019-02-28 |
| 1326539826 | Mallori Phillips | Optometrist | 3105 Grand Ave, Ames, IA 50010-4604 | 2018-05-21 |
| 1831637818 | Wal-mart Stores, Inc. | Technician/Technologist | 3105 Grand Ave, Ames, IA 50010 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971166 | Developmental Wellness, LLC | Clinic/Center | 5500 240th St, Ames, IA 50014-9501 | 2019-03-18 |
| 1659712677 | The Counseling Edge, Inc | Clinic/Center | 1421 S Bell Ave Ste 108a, Ames, IA 50010-7710 | 2013-07-08 |
| 1417202631 | Back In Action Chiropractic LLC | Clinic/Center | 622 Burnett Ave, Ames, IA 50010-6126 | 2012-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598659 | Walke Dentistry Pllc - Series 1 | Clinic/Center | 511 N Bluff St, Guttenberg, IA 52052-9465 | 2020-11-06 |
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1861039927 | New Horizon Mental Health & Wellness | Clinic/Center | 600 4th St Ste 202, Sioux City, IA 51101-1605 | 2019-12-06 |
| 1619512845 | Rebound Chiropractic and Sports Medicine, LLC | Clinic/Center | 1201 Sw State St., Suite 111, Ankeny, IA 50023-5002 | 2019-11-12 |
| 1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
| 1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
| 1578054698 | Ideal Option, Pllc | Clinic/Center | 817 Tower Park Drive, Waterloo, IA 50701-9027 | 2018-05-24 |
| 1417448754 | Ideal Option, Pllc | Clinic/Center | 4125 Gordon Dr, Sioux City, IA 51106-1304 | 2018-05-22 |
| 1770005068 | Mueller Chiropractic & Wellness Inc | Clinic/Center | 700 Main St Ste 213, Pella, IA 50219-1680 | 2017-07-09 |
| Find all providers with the same taxonomy | ||||
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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.