Organization
GREAT RIVER EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WEYERS O.D. (OPTOMETRIST)
(319) 754-5022
Entity
Organization
Contact information
Practice address
3337 AGENCY ST, BURLINGTON, IA 52601-1959
(319) 754-5022
(319) 754-0411
Mailing address
3337 AGENCY ST, BURLINGTON, IA 52601-1959
(319) 754-5022
(319) 754-0411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1761
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008839
—
IA
Enumeration date
05/03/2013
Last updated
06/07/2013
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