Organization
INTERNATIONAL EYECARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LEE SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
102 N 1ST AVE, WINTERSET, IA 50273-1551
(515) 462-1254
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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