Organization
WAYNE EYE CARE PC
Active
Other names
Sergeant Bluff Eyecare, Wayne Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL LOUISE VANDEKOP (PRACTICE MANAGER)
(712) 943-9400
Entity
Organization
Contact information
Practice address
313 MAIN ST, WAYNE, NE 68787-1925
(402) 375-2020
Mailing address
105 GAUL DR, SERGEANT BLUFF, IA 51054-8963
(712) 943-9400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
087587
IA
152W00000X
Optometrist
1476
NE
152W00000X
Optometrist
1477
NE
152W00000X
Optometrist
Primary
2439
IA
Other
Enumeration date
03/05/2018
Last updated
01/27/2020
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