Organization
HARLAN VISION CLINIC, P.C.
Active
Other names
Audubon Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD HENRY MCCUTCHAN OD (PRESIDENT/OWNER)
(712) 755-3893
Entity
Organization
Contact information
Practice address
2306 12TH ST, HARLAN, IA 51537-2002
(712) 755-3893
(712) 755-7580
Mailing address
2306 12TH ST, HARLAN, IA 51537-2002
(712) 755-3893
(712) 755-7580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01567
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032920
—
IA
01
—
03292
BLUE CROSS/WELLMARK
IA
01
—
410015661
RAILROAD MEDICARE
IA
Enumeration date
01/18/2008
Last updated
04/22/2008
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