Organization
EYECARE CENTRE
Active
Parent organization
EYECARE CENTRE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYECARE CENTRE
Authorized official
SAMUEL W. BUTLER O.D. (OPTOMETRIST)
(712) 262-1589
Entity
Organization
Contact information
Practice address
3 E 18TH ST, SPENCER, IA 51301-3441
(712) 262-1589
(712) 262-3689
Mailing address
PO BOX 707, SPENCER, IA 51301-0707
(712) 262-1589
(712) 262-3689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02135
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198416
—
IA
01
—
05577
BLUE CROSS BLUE SHIELD
IA
Enumeration date
11/01/2006
Last updated
12/27/2007
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