Eyecare Centre

LBN: Eyecare Centre
Eyecare Centre is an health care organization with primary practice located at 2312 23Rd Street , Spirit Lake IA 51360-0328. 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 Centre can be contacted via phone (712) 336-1960, or through Cornwall, Randy Franklin via phone (712) 336-1960.

Contact Information

Primary practice address
2312 23Rd Street Spirit Lake IA 51360-0328
Phone: (712) 336-1960
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornwall, Randy Franklin Doctor of Optometry (OD)
Phone: (712) 336-1960

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02082 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 01903 Iowa

Profile Details

NPI number 1750315040
LBN Legal business name Eyecare Centre
DBA Doing business as
Authorized official Cornwall, Randy Franklin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 26th, 2008 - about 17 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 1750315040 NPPES
Iowa MEDICAID 0286104
Iowa Other 29415
Iowa MEDICAID 1162032
Iowa Other 28610
Iowa Other 40832

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