Organization
VISION CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A BOWKER OD (CO-PRESIDENT)
(712) 263-2020
Entity
Organization
Contact information
Practice address
201 N MAIN ST, DENISON, IA 51442-0399
(712) 263-2020
(712) 263-4053
Mailing address
201 N MAIN ST, BOX 399, DENISON, IA 51442-0399
(712) 263-2020
(712) 263-4053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218339
—
IA
01
—
18020
WELLMARK
IA
01
—
42149719
COMMERCIAL & OTHER STATES
IA
01
—
AOO4235
CHAMPUS
IA
Enumeration date
05/20/2006
Last updated
10/18/2023
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