Organization
EYECARE PARTNERS, P.C.
Active
Parent organization
EYECARE PARTNERS, P.C.
Other names
Penn Central Eye Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYECARE PARTNERS, P.C.
Authorized official
RALPH DEHAAN O.D. (PRESIDENT)
(641) 628-9225
Entity
Organization
Contact information
Practice address
200 HIGH AVE W, OSKALOOSA, IA 52577-2753
(641) 673-9263
Mailing address
200 HIGH AVE W, OSKALOOSA, IA 52577-2753
(641) 673-9263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169862
—
IA
Enumeration date
04/18/2006
Last updated
12/13/2012
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