Organization
20-20 VISION WEAR LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CARL GARDNER (PRES)
(712) 325-4999
Entity
Organization
Contact information
Practice address
130 W BROADWAY, COUNCIL BLUFFS, IA 51503-4311
(712) 325-4999
Mailing address
130 W BROADWAY, COUNCIL BLUFFS, IA 51503-4311
(712) 325-4999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137729
—
IA
Enumeration date
10/27/2006
Last updated
06/18/2008
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