DR. BLAINE R BRUNSEN (NPI# 1861423519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861423519 |
| Entity Type | Individual |
| Full Name | DR. BLAINE R BRUNSEN |
| Credential | OD |
| Practice Address |
2628 Beaver Ave Des Moines IA 50310-3908 |
| Practice Telephone | 5152744141 |
| Mailing Telephone | 5152744141 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002417 | IA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2057 | CO | Eye and Vision Services Providers |
| Street Address |
2628 BEAVER AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265832208 | Beaverdale Eye PC | Optometrist | 2628 Beaver Ave, Des Moines, IA 50310-3908 | 2014-08-27 |
| 1821343484 | Megan Marie Petersen | Optometrist | 2628 Beaver Ave, Des Moines, IA 50310-3908 | 2012-07-19 |
| 1215265368 | James W Hartzell Od PC | Optometrist | 2628 Beaver Ave, Des Moines, IA 50310-3908 | 2009-12-01 |
| 1588866941 | Vision Clinic, PC | Optometrist | 2628 Beaver Ave, Des Moines, IA 50310-3908 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| 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 |
|---|---|---|---|---|
| 1245587724 | Thomas Kemmerer | Optometrist | 3800 Merle Hay Rd Ste 407, Des Moines, IA 50310-1323 | 2012-08-14 |
| 1093001091 | Jesse David Westrum | Optometrist | 315e 5th St, Des Moines, IA 50309-1916 | 2011-06-28 |
| 1619126307 | Michael S Budahn | Optometrist | 5201 Se 14th St, Des Moines, IA 50320-1615 | 2008-09-17 |
| 1801076989 | Des Moines Vision Center Inc Ps | Optometrist | 21634 Marine View Dr S, Des Moines, WA 98198-6154 | 2007-11-06 |
| 1639219223 | Charles Stanley Bailey IIi | Optometrist | 6351 Se 14th St, Des Moines, IA 50320-1709 | 2007-02-06 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1326136987 | W Richard Krattli | Optometrist | 21634 Marine View Drive South, Des Moines, WA 98198-6154 | 2006-10-10 |
| 1528162922 | Elizabeth A Goerke | Optometrist | 3945 Merle Hay Rd, Des Moines, IA 50310-1309 | 2006-09-07 |
| 1437265758 | Francis O Winjum | Optometrist | 906 Merle Hay Mall, Des Moines, IA 50310-1334 | 2006-08-21 |
| 1295769644 | Jeffrey Lynn Koenen | Optometrist | 700 Locust St Ste 302, Des Moines, IA 50309-3735 | 2006-07-10 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
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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.