Organization
WOODLAND EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE HINECKER REVCYLE (CREDENTIALING)
(316) 247-9771
Entity
Organization
Contact information
Practice address
606 S RIVER PARK DR, GUTTENBERG, IA 52052-9339
(563) 252-3041
(563) 252-3041
Mailing address
PO BOX 100, ELKADER, IA 52043-0100
(563) 245-2304
(563) 245-2392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1715
IA
Other
Enumeration date
02/16/2007
Last updated
02/26/2024
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