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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
2235 AVENUE L, FORT MADISON, IA 52627-4008
(319) 372-2020
(319) 372-4458
Mailing address
2235 AVENUE L, FORT MADISON, IA 52627-4008
(319) 372-2020
(319) 372-4458

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1667
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0168542
IA
01
CN5805
RR MEDICARE
IA
Enumeration date
10/12/2006
Last updated
01/11/2012
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