Quad Cities Retina Consultants

LBN: Quad Cities Retina Consultants
Quad Cities Retina Consultants is an health care organization with primary practice located at 1230 E Rusholme St Suite 107, Davenport IA 52803-2400. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Quad Cities Retina Consultants can be contacted via phone (563) 326-8181, or through Antaris, Leonardo M via phone (563) 326-8181.

Contact Information

Primary practice address
1230 E Rusholme St Suite 107 Davenport IA 52803-2400
Fax: (563) 326-8184
Website:
Authorized official contact:
Name: Antaris, Leonardo M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27394 Iowa

Profile Details

NPI number 1952567794
LBN Legal business name Quad Cities Retina Consultants
DBA Doing business as
Authorized official Antaris, Leonardo M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2008
Last updated Jun 21st, 2010 - about 14 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 1952567794 NPPES
Iowa Other 29346 MEDICARE ID- TYPE UNSPECIFIED
Iowa MEDICAID 0293464 MEDICARE ID- TYPE UNSPECIFIED

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