OrganizationActive
Eyedentity PC
NPI 1639457864 · Optometrist · Johnston, IA
Eyedentity PC is a Optometrist organization in Johnston, IA (NPI 1639457864).
Provider details
- NPI number
- 1639457864
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tara Cooper, President(515) 321-6332
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5525 Merle Hay Rd Ste 155
Johnston, IA 50131-1446
Phone: (515) 321-6332
Street-level locationGet directions
Mailing address
5525 Merle Hay Rd Ste 155
Johnston, IA 50131-1446
Other names (DBA / former)
- Doing business as
- Lifetime Vision
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2011-10-17
Frequently asked questions
- What is Eyedentity PC's NPI number?
- Eyedentity PC's National Provider Identifier (NPI) is 1639457864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eyedentity PC?
- Eyedentity PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Eyedentity PC located?
- Eyedentity PC's practice location on file with NPPES is 5525 Merle Hay Rd Ste 155, Johnston, IA 50131-1446.
- What is Eyedentity PC's phone number?
- The practice phone number listed in the NPPES registry for Eyedentity PC is (515) 321-6332.
- Who is the authorized official for Eyedentity PC?
- The authorized official listed on Eyedentity PC's NPPES record is Tara Cooper, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eyedentity PC's NPI active?
- Yes — Eyedentity PC's NPI (1639457864) is active in the NPPES registry as of the last update on 2011-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.