Organization
TYE INC
Active
Other names
lyn optical
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES JEAN TYE (PRESIDENT)
(712) 322-3097
Entity
Organization
Contact information
Practice address
2600 W BROADWAY, COUNCIL BLUFFS, IA 51501-3512
(712) 322-3097
(712) 322-4130
Mailing address
60434 LEVI RD, GLENWOOD, IA 51534-5142
(712) 527-9731
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/07/2006
Last updated
08/22/2020
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