Organization
TKC OPTICAL, INC
Active
Other names
Exact Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE CONLEY (PRESIDENT)
(712) 252-1519
Entity
Organization
Contact information
Practice address
100 E MILWAUKEE AVE, STORM LAKE, IA 50588-1813
(712) 732-7624
(712) 732-7627
Mailing address
229 4TH ST, SIOUX CITY, IA 51101-1401
(712) 252-1519
(712) 252-1916
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239905
—
IA
01
—
19005
AVESIS
—
01
—
21524
SPECTERA
IA
01
—
51285
BCBS
IA
01
—
51285
FTJCC FIRSTADMIN
—
01
—
IA1849
EYEMED
—
Enumeration date
01/25/2007
Last updated
08/22/2020
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