Healthcare Provider Details

I. General information

NPI: 1124947403
Provider Name (Legal Business Name): UNIQUELY YOU EYEWEAR & EYECARE BOUTIQUE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 JORDAN CREEK PKWY STE 160
WEST DES MOINES IA
50266-8485
US

IV. Provider business mailing address

2800 RIDGE RD
DES MOINES IA
50312-4418
US

V. Phone/Fax

Practice location:
  • Phone: 641-451-5021
  • Fax:
Mailing address:
  • Phone: 641-451-5021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. KREG D HARPER
Title or Position: OWNER
Credential: OD
Phone: 641-451-5021