Davenport Eye Group Pc

LBN: Davenport Eye Group Pc
Davenport Eye Group Pc is an health care organization with primary practice located at 1230 E Rusholme St Ste 203, Davenport IA 52803-2400. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Customized Equipment, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Davenport Eye Group Pc can be contacted via phone (563) 322-0923, or through Saetre, Siv Brit via phone (563) 322-0923.

Contact Information

Primary practice address
1230 E Rusholme St Ste 203 Davenport IA 52803-2400
Phone: (563) 322-0923
Fax: (563) 322-7403
Website:
Map and Directions
Authorized official contact:
Name: Saetre, Siv Brit Doctor of Medicine (MD)
Phone: (563) 322-0923

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1508838954
LBN Legal business name Davenport Eye Group Pc
DBA Doing business as
Authorized official Saetre, Siv Brit Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Sep 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508838954 NPPES
Iowa MEDICAID 0286468
Iowa Other CE7597

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