RUSS UPTOWN OPTICAL INC NPI 1548483639

NPI Information

NPI: 1548483639
Provider Name: RUSS UPTOWN OPTICAL INC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
4122 UNIVERSITY AVE
DES MOINES, IA
ZIP 50311
Phone: (515) 279-3189
Get Directions

RUSS UPTOWN OPTICAL INC is an optician technician technologist in Des Moines, IA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. RUSS UPTOWN OPTICAL INC NPI is 1548483639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4122 UNIVERSITY AVE
DES MOINES, IA
ZIP 50311-533
Phone: (515) 279-3189
Fax: (515) 279-3956

The provider's authorized official is Douglas Phillip Mentzer .
The authorized official title is President and has the following contact phone number (515) 279-3189.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 12/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0135140001	MEDICARE ID-TYPE UNSPECIFIED	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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