Organization
AMERICAN EYECARE PC
Active
Other names
American Eyecare PC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TODD JENNINGS OD (OPTOMETRIST/PRESIDENT)
(319) 754-2020
Entity
Organization
Contact information
Practice address
2025 MAIN ST, KEOKUK, IA 52632-3225
(319) 524-2020
(319) 524-4148
Mailing address
2025 MAIN ST, KEOKUK, IA 52632-3225
(319) 524-2020
(319) 524-4148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1667
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080523
—
IA
01
—
CE7235
RR MEDICARE
IA
Enumeration date
10/12/2006
Last updated
08/11/2011
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