Organization
HAWARDEN FAMILY EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BEAVER OD (OWNER)
(712) 722-1270
Entity
Organization
Contact information
Practice address
605 10TH ST, HAWARDEN, IA 51023-2220
(712) 551-2020
Mailing address
105 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-1270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8328590001
NATIONAL PROVIDER ENROLLMENT WESTERN REGION
IA
Enumeration date
08/05/2021
Last updated
07/09/2025
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