# IVYR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750988119
- **Authorized official:** DR. GEORGE PAR MD (PHYSICIAN OWNER)
- **Authorized official phone:** (516) 241-4950

## Contact information

- **Practice address:** 12129 UNIVERSITY AVE, CLIVE, IA 50325-8287
- **Practice address phone:** (515) 420-2020
- **Mailing address:** 12129 UNIVERSITY AVE, CLIVE, IA 50325-8287
- **Mailing address phone:** (515) 420-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2020
- **Last updated:** 05/03/2021