Main Street Eye Clinic-A Division Of Iec
LBN: International Eyecare Center, Inc.
Main Street Eye Clinic-A Division Of Iec is an health care organization with primary practice located at 3201 Highway 61 Suite A, Hannibal MO 63401-6578. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
International Eyecare Center, Inc. can be contacted via phone (573) 248-3937, or through Carter, Teresa D via phone (217) 222-9207.
Contact Information
Primary practice address
3201 Highway 61 Suite A
Hannibal MO 63401-6578
Phone: (573) 248-3937
Fax: (573) 221-4393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1215378963 |
|---|---|
| LBN Legal business name | International Eyecare Center, Inc. |
| DBA Doing business as | Main Street Eye Clinic-A Division Of Iec |
| Authorized official | Carter, Teresa D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2013 |
| Last updated | Jan 22nd, 2021 - about 4 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 | 1215378963 | NPPES |
| Missouri | MEDICAID | 1760405047 |
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