Riverside Family Eye Center Llc

LBN: Riverside Family Eye Center Llc
Riverside Family Eye Center Llc is an health care organization with primary practice located at 126 S Cody Rd , Le Claire IA 52753-9236. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Riverside Family Eye Center Llc can be contacted via phone (563) 289-2020, or through Nix, Lisa Anne via phone (563) 289-2020.

Contact Information

Primary practice address
126 S Cody Rd Le Claire IA 52753-9236
Phone: (563) 289-2020
Fax: (563) 289-2011
Website:
Map and Directions
Authorized official contact:
Name: Nix, Lisa Anne Doctor of Optometry (OD)
Phone: (563) 289-2020

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 2189 Iowa

Profile Details

NPI number 1750570446
LBN Legal business name Riverside Family Eye Center Llc
DBA Doing business as
Authorized official Nix, Lisa Anne Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Jul 24th, 2009 - about 16 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 1750570446 NPPES
Iowa MEDICAID 1223669

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