Organization
EYEWEAR GALLERY
Active
Parent organization
EYEWEAR GALLERY
Other names
Maquoketa Eyecare
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYEWEAR GALLERY
Authorized official
MR. JACOB M HAYWARD OD (OWNER/OPERATOR)
(563) 659-2020
Entity
Organization
Contact information
Practice address
101 N MAIN ST, MAQUOKETA, IA 52060
(563) 659-2020
(563) 659-2121
Mailing address
101 N MAIN ST, MAQUOKETA, IA 52060
(563) 652-2020
(563) 652-9097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
09/11/2018
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