Iowa Eye Center Optical

LBN: Iowa Eye Pc
Iowa Eye Center Optical is an health care organization with primary practice located at 1650 1St Ave Ne , Cedar Rapids IA 52402-5431. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Iowa Eye Pc can be contacted via phone (319) 366-2020, or through Waller, Dawn M via phone (319) 362-3937.

Contact Information

Primary practice address
1650 1St Ave Ne Cedar Rapids IA 52402-5431
Phone: (319) 366-2020
Fax: (319) 366-3020
Website:
Map and Directions
Authorized official contact:
Name: Waller, Dawn M
Phone: (319) 362-3937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1710007406
LBN Legal business name Iowa Eye Pc
DBA Doing business as Iowa Eye Center Optical
Authorized official Waller, Dawn M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Mar 3rd, 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 1710007406 NPPES
Iowa MEDICAID 0079418

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