Organization
WASHINGTON EYE CARE CENTER
Active
Other names
Axis Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH A GUTIERREZ (BILLING MANAGER)
(319) 653-4558
Entity
Organization
Contact information
Practice address
801 BUCK ST, TIFFIN, IA 52340-9446
(319) 545-2252
(319) 545-2436
Mailing address
PO BOX 70, WASHINGTON, IA 52353-0070
(319) 653-4558
(319) 653-2574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2700065
—
IA
05
—
3204843
—
IA
Enumeration date
02/05/2019
Last updated
11/17/2020
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