Organization
NORTH IOWA EYE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SCOTT BRENTON M.D. (PRESIDENT)
(641) 423-8861
Entity
Organization
Contact information
Practice address
3121 4TH ST SW, MASON CITY, IA 50401-1581
(641) 423-8861
(641) 423-0727
Mailing address
PO BOX 1877, MASON CITY, IA 50402-1877
(641) 423-8861
(641) 423-0727
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24594
PTAN
IA
Enumeration date
08/29/2006
Last updated
04/30/2015
Update your record
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