Organization
EYE CARE PAVILION PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE OSSOWSKI (OFFICE MANGER)
(563) 324-2020
Entity
Organization
Contact information
Practice address
4310 E 53RD ST, DAVENPORT, IA 52807-3039
(563) 324-2020
(563) 323-0949
Mailing address
4310 E 53RD ST, DAVENPORT, IA 52807-3039
(563) 324-2020
(563) 323-0949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448712
—
IA
01
—
37835
BCBS OF IOWA
IA
Enumeration date
01/23/2006
Last updated
03/30/2015
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