Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eyedentity PC

Organization Optometrist · NPI 1639457864

Eyedentity PC is an Optometrist in Johnston, Iowa. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5525 Merle Hay Rd Ste 155
Johnston, IA 50131-1446
Phone: (515) 321-6332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1639457864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Cooper — President · (515) 321-6332
Other names Lifetime Vision
NPI enumeratedJuly 21, 2011
Last updated in NPPESOctober 17, 2011
Mailing address5525 Merle Hay Rd Ste 155, Johnston, IA 50131-1446

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