UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES INC (NPI# 1174840474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174840474 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES INC |
Other Organization Name | UI HEALTH CARE - RIVER CROSSING OPTICAL SHOP |
Practice Address |
3056 River Crossing Court Suite B Riverside IA 52327-4727 |
Mailing Address |
2941 Sierra Ct Sw Iowa City IA 52240-8503 |
Practice Telephone | 3194678335 |
Practice Fax Number | 3194678337 |
Mailing Telephone | 3193377642 |
Mailing Fax Number | 3193391449 |
Enumeration Date | 2010-04-26 |
Last Update Date | 2010-04-28 |
Authorized Official Name | TERRY J PROTEXTOR (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3193377642 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
UI HEALTH CARE - RIVER CROSSING OPTICAL SHOP | Doing Business As Name - Organization |
Street Address |
3056 RIVER CROSSING COURT SUITE B |
City | RIVERSIDE |
State | IA |
Zip Code | 52327-4727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588650956 | David A Bedell | Family Medicine | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2005-09-21 |
1073958468 | State University of Iowa | Clinic/Center | 3056 River Crossing Court, Riverside, IA 52327 | 2013-04-30 |
1174845101 | State University of Iowa | Pharmacy | 3056 River Crossing Court, Ste A, Riverside, IA 52327 | 2010-02-18 |
1992037865 | State University of Iowa | Nurse Practitioner | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2010-02-03 |
1588826952 | Nealy Christine Neukirch | Physician Assistant | 3056 River Crossing Court, Ui Healthcare River Crossing, Riverside, IA 52327-4724 | 2008-06-27 |
1205823556 | Natalie L Lanternier | Family Medicine | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2005-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508185554 | Jerry P Gibson | Optometrist | 3140 White Oak Cr, Riverside, IA 52327 | 2010-05-28 |
1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
1720510845 | Suzanne M Pierson | Respiratory Therapist, Certified | 3036 Hidden Meadow Dr, Riverside, IA 52327-9007 | 2017-03-29 |
1811191315 | Highland Csd | Local Education Agency (LEA) | 1715 Vine Ave, Riverside, IA 52327-9013 | 2007-06-11 |
1821151887 | Tamara Leigh Grimm | Dentist | 380 E Hickory St, P.o. Box M, Riverside, IA 52327-9665 | 2006-12-19 |
1427301209 | Tarrell L Portman | Counselor | 361 East First Street, Riverside, IA 52327-9688 | 2012-10-18 |
1831267863 | Howard A Cox | Podiatrist | 2835 130th St, Riverside, IA 52327-9699 | 2006-11-30 |
1811940927 | Megan Lynn Reed | Chiropractor | 3096 500th St Sw, Riverside, IA 52327-9790 | 2006-05-18 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
1053645648 | Mark A Rosa | Eyewear Supplier (Equipment, not the service) | 7710 Limonite Ave Ste 101, Riverside, CA 92509-5342 | 2009-09-29 |
1740514744 | Mark A Rosa | Eyewear Supplier (Equipment, not the service) | 6485 Day St Ste 205, Riverside, CA 92507-0931 | 2009-09-23 |
1588752950 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 375 E Alessandro Blvd, Riverside, CA 92508-2463 | 2006-10-11 |
1366464448 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3065 Galleria At Tyler, Riverside, CA 92503 | 2006-07-24 |
1669858270 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2755 Canyon Springs Pkwy, Riverside, CA 92507-0932 | 2015-08-05 |
1700041043 | Sandra Davidson, O.d. Inc. | Eyewear Supplier (Equipment, not the service) | 4515 Central Ave Ste 101, Riverside, CA 92506-2374 | 2008-07-25 |
1649394545 | Mountain Vista Optical | Eyewear Supplier (Equipment, not the service) | 10440 Magnolia Ave, Riverside, CA 92505-1812 | 2007-03-17 |
1366598120 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2051 Galleria At Tyler, Riverside, CA 92503-4143 | 2007-01-26 |
1104975697 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7503 W Cermak Rd, Riverside, IL 60546-2743 | 2007-01-10 |
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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.