Eyecare Associates Of Southwest Iowa Inc
LBN: Eyecare Associates Of Southwest Iowa Inc
Eyecare Associates Of Southwest Iowa Inc is an health care organization with primary practice located at 116 E Washington St , Clarinda IA 51632-1611. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Eyecare Associates Of Southwest Iowa Inc can be contacted via phone (712) 542-6513, or through Samuelson, Gregory L via phone (712) 542-6513.
Contact Information
Primary practice address
116 E Washington St
Clarinda IA 51632-1611
Phone: (712) 542-6513
Fax: (712) 542-2274
Website:
Authorized official contact:
Name: Samuelson, Gregory L Doctor of Optometry (OD)
Phone: (712) 542-6513
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
| NPI number | 1801887484 |
|---|---|
| LBN Legal business name | Eyecare Associates Of Southwest Iowa Inc |
| DBA Doing business as | |
| Authorized official | Samuelson, Gregory L Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Aug 3rd, 2012 - about 12 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 | 1801887484 | NPPES |
| Iowa | MEDICAID | 0201285 | |
| Iowa | Other | 07311 | |
| Iowa | MEDICAID | 100249544-00 | |
| Iowa | Other | 109192 |
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