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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTHEAST IOWA OPTICAL, LLC
NPI 1083548853
Ophthalmology in Waterloo, IA

Active since June 09, 2026
909 E SAN MARNAN DR, WATERLOO, IA 50702(830) 320-3852(830) 341-5593 Get Directions Write a Review

NPPES record added: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeast Iowa Optical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST IOWA OPTICAL, LLC (NPI 1083548853) is a healthcare organization registered as an ophthalmology in Waterloo, Iowa and active in the NPI registry since June 2026. The organization lists Daniel Miller, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1083548853
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameNORTHEAST IOWA OPTICAL, LLC
Location Address909 E SAN MARNAN DRWaterloo, IA 50702-5611
Mailing Address909 E San Marnan DrWaterloo, IA 50702-5611 · (830) 320-3852 · Fax (830) 341-5593
Phone(830) 320-3852
Fax(830) 341-5593
Organization SubpartNo
Authorized OfficialDaniel MillerOwner/provider · (830) 320-3852
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1083548853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
909 E SAN MARNAN DR, Waterloo, IA 50702
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW KREWER OD
Optometrist
909 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 233-2020
DR. STACI ANNE BOON O.D.
Optometrist
909 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 233-2020
DR. THOMAS PAUL PETRIE D.O.
Ophthalmology
909 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 233-2020
CEDAR VALLEY MEDICAL SPECIALISTS PC
Durable Medical Equipment & Medical Supplies
909 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 233-2020
NORTHEAST IOWA EYE, PLLC
Ophthalmology
909 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (830) 320-3852
LUCAS A COOK
Optometrist
909 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 233-2020
SUZANNE RENEE SMITH OD
Optometrist
909 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 234-2616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Iowa Optical, LLC's NPI number?

The NPI number for Northeast Iowa Optical, LLC is 1083548853. It was assigned to this organization in the NPPES registry on June 9, 2026.

Where is Northeast Iowa Optical, LLC located?

Northeast Iowa Optical, LLC is located at 909 E San Marnan Dr, Waterloo, IA 50702. The listed phone number is (830) 320-3852.

What is Northeast Iowa Optical, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Northeast Iowa Optical, LLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.