Organization
INTERNATIONAL EYECARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA D CARTER (PRESIDENT)
(217) 222-9207
Entity
Organization
Contact information
Practice address
580 S ROOSEVELT AVE, BURLINGTON, IA 52601-1666
(319) 753-0437
(319) 752-8751
Mailing address
580 S ROOSEVELT AVE, BURLINGTON, IA 52601-1666
(319) 753-0437
(319) 752-8751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760405047
—
IA
Enumeration date
10/15/2012
Last updated
01/22/2021
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