POLK CITY EYECARE INC
NPI 1215460910
Optometrist in Polk City, IA

Active since April 10, 2017
905 WEST BRIDGE ROAD, SUITE 1, POLK CITY, IA 50226(515) 329-6454(515) 984-3436 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2018, Apr 10, 2017 (2 updates tracked since 2017).

About Polk City Eyecare Inc NPPES

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

POLK CITY EYECARE INC (NPI 1215460910) is a healthcare organization registered as an optometrist in Polk City, Iowa and active in the NPI registry since April 2017. The organization lists Traci Ann Friedman, Od /owner, as its authorized official.

NPPES Registry Identity

NPI1215460910
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePOLK CITY EYECARE INC
Location Address905 WEST BRIDGE ROAD, SUITE 1Polk City, IA 50226-2254
Mailing Address905 West Bridge Road, Suite 1Polk City, IA 50226-2254 · (515) 329-6454 · Fax (515) 984-3436
Fax(515) 984-3436
Organization SubpartNo
Authorized OfficialTraci Ann FriedmanOd /owner · (515) 329-6454
Enumeration DateApril 10, 2017
Last NPPES UpdateFebruary 28, 20182 updates tracked since enumeration
✔ NPI 1215460910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 02115
Definition
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.
905 WEST BRIDGE ROAD, Polk City, IA 50226

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polk City Eyecare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Polk City Eyecare Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1851364921
905 W. BRIDGE ROAD SUITE 1
Polk City, IA 50226
(515) 329-6454
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Polk City Eyecare Inc's NPI number?

The NPI number for Polk City Eyecare Inc is 1215460910. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Polk City Eyecare Inc located?

Polk City Eyecare Inc is located at 905 West Bridge Road Suite 1, Polk City, IA 50226. The listed phone number is (515) 329-6454.

What is Polk City Eyecare Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Polk City Eyecare Inc enrolled in Medicare?

Yes. Polk City Eyecare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Polk City Eyecare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Polk City Eyecare Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Polk City Eyecare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Polk City Eyecare Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Polk City Eyecare Inc was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.