Organization
VISION CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A BOWKER OD (CO PRESIDENT)
(712) 263-2020
Entity
Organization
Contact information
Practice address
308 E ERIE ST, MISSOURI VALLEY, IA 51555-1619
(712) 642-4146
(712) 642-3091
Mailing address
308 E ERIE ST, MISSOURI VALLEY, IA 51555-1619
(712) 642-4146
(712) 642-3091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0485581
—
IA
01
—
39891
WELLMARK
IA
01
—
42149719
COMMERCIAL & OTHER STATES
IA
01
—
A004235
CHAMPUS
IA
Enumeration date
05/23/2006
Last updated
10/18/2023
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