Organization
EYEOWA OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P GENKINGER (OWNER)
(641) 472-6694
Entity
Organization
Contact information
Practice address
122 N COURT ST, FAIRFIELD, IA 52556-2815
(641) 472-6694
(641) 472-5979
Mailing address
122 N COURT ST, FAIRFIELD, IA 52556-2815
(641) 472-6694
(641) 472-5979
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263418
—
IA
Enumeration date
08/25/2008
Last updated
08/25/2008
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