MEDICARE: EYE PHYSICIANS AND SURGEONS L L P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27862	OTHER	IA	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447230834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE PHYSICIANS AND SURGEONS L L P

Provider Business Mailing Address
First Line	:	2629 NORTHGATE DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9565
Country	:	US
Telephone Number	:	319-338-3623
Fax Number	:	319-338-7289

Provider Business Practice Location Address
First Line	:	2629 NORTHGATE DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9565
Country	:	US
Telephone Number	:	319-338-3623
Fax Number	:	319-338-7289

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. CHRIS E WATTS
Credential	:	MD
Telephone Number	:	319-338-3623

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	05/04/2017

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Directions to “EYE PHYSICIANS AND SURGEONS L L P ” Practice Location

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