Organization
IOWA EYE PC
Active
Other names
IOWA EYE CENTER OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M WALLER (DIRECTOR OF REIMBURSEMENT)
(319) 362-3937
Entity
Organization
Contact information
Practice address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 366-2020
(319) 366-3020
Mailing address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 366-2020
(319) 366-3020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079418
—
IA
Enumeration date
03/29/2007
Last updated
03/03/2008
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