MARK L. BOTTELSON, O.D. AND ASSOCIATES, P.C. (NPI# 1740279470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740279470 |
| Entity Type | Organization |
| Organization Name | MARK L. BOTTELSON, O.D. AND ASSOCIATES, P.C. |
| Practice Address |
1001 73rd St Vision Center Windsor Heights IA 50324-1311 |
| Practice Telephone | 5152746452 |
| Practice Fax Number | 5152746306 |
| Mailing Telephone | 5152746452 |
| Mailing Fax Number | 5152746306 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2009-07-13 |
| Authorized Official Name | MRS. ELAINE RAHE BOTTELSON (INSURANCE MANAGER) |
| Authorized Official Telephone | 5152746452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1684 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS BLUE SHIELD | 36759 | 01 |
| IA | MIDLANDS CHOICE | 6151 | 01 |
| NATIONAL VISION ADMIN. | 551764 | 01 | |
| PRIVATE HEALTH CARE SYSTE | 9391471 | 01 | |
| IA | 3167973 | 05 |
| Street Address |
1001 73RD ST VISION CENTER |
| City | WINDSOR HEIGHTS |
| State | IA |
| Zip Code | 50324-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021267 | Timothy A. Strong | Hearing Instrument Specialist | 1001 73rd St, Windsor Heights, IA 50324-1311 | 2009-10-20 |
| 1689859704 | Mark Leroy Bottelson | Optometrist | 1001 73rd St, Vision Center, Windsor Heights, IA 50324-1311 | 2008-01-08 |
| 1528133279 | National Hearing Centers | Audiologist-Hearing Aid Fitter | 1001 73rd St, Windsor Heights, IA 50311-1311 | 2006-11-21 |
| 1730260837 | Wal-mart Stores, Inc. | Technician/Technologist | 1001 73rd St, Windsor Heights, IA 50311-1311 | 2006-10-17 |
| 1639196017 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1001 73rd St, Windsor Heights, IA 50324-1311 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396262291 | Nuspine IIi Inc. | Chiropractor | 7241 Apple Valley Drive, Windsor Heights, IA 50324 | 2017-08-23 |
| 1396921508 | Elisabeth Lee Jones | Nurse Practitioner | 7700 Hickman Road, Windsor Heights, IA 50324 | 2008-01-17 |
| 1932630167 | Brown Therapy Resources LLC | Community/Behavioral Health | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2017-03-21 |
| 1891230447 | Rebecca Lake | Chiropractor | 974 73rd St, #40, Windsor Heights, IA 50324-1024 | 2017-01-05 |
| 1851643019 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50324-1024 | 2012-10-11 |
| 1477709228 | Kevin Scott Brown | Counselor | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2008-08-13 |
| 1598899155 | Barry R Svec | Dentist | 974 73rd St, Suite #4, Windsor Heights, IA 50324-1024 | 2007-03-15 |
| 1184787343 | Heartland Vascular Medicine and Surgery PC | Surgery | 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 | 2006-12-19 |
| 1750474318 | Myrie & Associates | Surgery | 974 73rd St, Suite 25, Windsor Heights, IA 50324-1024 | 2006-10-02 |
| 1427004464 | Alan Russell Koslow | Surgery | 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 | 2006-05-25 |
| Find all providers in zip 50324 | ||||
| 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 |
|---|---|---|---|---|
| 1689859704 | Mark Leroy Bottelson | Optometrist | 1001 73rd St, Vision Center, Windsor Heights, IA 50324-1311 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523406 | Kari Hellstern Od, P.C. | Optometrist | 550 36th Ave Sw Ste K1, Altoona, IA 50009-2626 | 2020-09-21 |
| 1508489824 | Clear View Vision Center, LLC | Optometrist | 1001 Avenue H Ste 2, Fort Madison, IA 52627-4559 | 2020-05-20 |
| 1952923609 | Le Mars Eye Care, PC | Optometrist | 26 5th Ave Nw, Le Mars, IA 51031-3427 | 2020-05-15 |
| 1275161549 | Metro Eyecare Associates LLC | Optometrist | 111 Nw 9th St Ste 1, Ankeny, IA 50023-1754 | 2020-03-31 |
| 1699314815 | American Eyecare PC | Optometrist | 1802 E Washington St Ste 101, Mt Pleasant, IA 52641-3217 | 2020-01-06 |
| 1659910453 | Luke R Ploessl | Optometrist | 2140 Jfk Rd Ste F, Dubuque, IA 52002-3883 | 2019-12-27 |
| 1063059186 | Reedy Eye Specialists | Optometrist | 2217 Main St # 329, Emmetsburg, IA 50536-2446 | 2019-12-09 |
| 1447896782 | Hawkeye Exact, LLC | Optometrist | 1801 4th St, Sioux City, IA 51101-2118 | 2019-11-21 |
| 1770144941 | Eyecare Partners, P.C. | Optometrist | 440 S 68th St, West Des Moines, IA 50266-8431 | 2019-06-27 |
| 1407415599 | Jacob Michael Diedrich | Optometrist | 5001 Sergeant Rd Ste 45, Sioux City, IA 51106-4777 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR HEIGHTS |
| Zip Code | 50324 |
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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.