Organization
HAWKEYE CLINIC OF MARCUS, PC
Active
Other names
Marcus Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL VANDEKOP (PRACTICE MANAGER)
(712) 943-9400
Entity
Organization
Contact information
Practice address
406 N MAIN ST, MARCUS, IA 51035-7719
(712) 943-9400
Mailing address
105 GAUL DR, SERGEANT BLUFF, IA 51054-8963
(712) 943-9400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73787
BLUE CROSS BLUE SHIELD
IA
Enumeration date
11/17/2017
Last updated
01/27/2020
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