Organization
EYEOWA WATERLOO LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GARZA (MANAGED CARE MANAGER)
(956) 335-6476
Entity
Organization
Contact information
Practice address
1523-1525 E. SAN MARNAN DR, WATERLOO, IA 50702-4300
(956) 335-6476
(561) 828-8367
Mailing address
1523-1525 E. SAN MARNAN DR, WATERLOO, IA 50702-4300
(956) 335-6476
(561) 828-8367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
09/01/2022
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