Organization
AMERICAN EYECARE PC
Active
Other names
American Eyecare PC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TODD JENNINGS OD (OPTOMETRIST/PRESIDENT)
(319) 754-2020
Entity
Organization
Contact information
Practice address
2743 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2137
(319) 754-2020
(319) 754-2299
Mailing address
2743 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2137
(319) 754-2020
(319) 754-2299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1667
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1080523
—
IA
01
—
CP7444
RR MEDICARE
IA
Enumeration date
10/04/2006
Last updated
01/11/2012
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