Ellingson Eyecare, Inc.
LBN: Ellingson Eyecare, Inc.
Ellingson Eyecare, Inc. is an health care organization with primary practice located at 1451 Coral Ridge Ave Ste 518 , Coralville IA 52241-2805. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Ellingson Eyecare, Inc. can be contacted via phone (319) 466-0644, or through Ellingson, Larry D via phone (319) 466-0644.
Contact Information
Primary practice address
1451 Coral Ridge Ave Ste 518
Coralville IA 52241-2805
Phone: (319) 466-0644
Fax: (319) 466-0330
Website:
Authorized official contact:
Name: Ellingson, Larry D Doctor of Optometry (OD)
Phone: (319) 466-0644
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
| NPI number | 1467651372 |
|---|---|
| LBN Legal business name | Ellingson Eyecare, Inc. |
| DBA Doing business as | |
| Authorized official | Ellingson, Larry D Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Jul 12th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467651372 | NPPES |
| Iowa | Other | 244542 | MIDLAND'S CHOICE |
| Iowa | Other | 130740 | MIDLAND'S CHOICE |
| Iowa | Other | 25241 | MIDLAND'S CHOICE |
| Iowa | MEDICAID | 259168 | MIDLAND'S CHOICE |
| Iowa | Other | 45844 | MIDLAND'S CHOICE |
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