Organization
FOX EYE LASER AND COSMETIC INSTITUTE PC
Active
Organization
FOX EYE LASER AND COSMETIC INSTITUTE PC
Active
Other names
Fox Eye Laser & Cosmetic Institute PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE D BIRCHANSKY MD (PRESIDENT)
(319) 362-9855
Entity
Organization
Contact information
Practice address
1136 H AVE NE, CEDAR RAPIDS, IA 52402-4624
(319) 362-9855
(319) 362-0655
Mailing address
1136 H AVE NE, CEDAR RAPIDS, IA 52402-4624
(319) 362-9855
(319) 362-0655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108159
—
IA
01
—
07591
WELLMARK
—
01
—
180037971
RAILROAD MEDICARE
IA
01
—
5340733
AETNA
IA
Enumeration date
08/18/2005
Last updated
07/19/2019
Update your record
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