MEDICARE: EYE HEALTH PHYSICIANS, P.C.

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	152W00000X	Optometrist		IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811055825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE HEALTH PHYSICIANS, P.C.

Provider Business Mailing Address
First Line	:	7025 HICKMAN RD
Second Line	:	SUITE 1
City	:	DES MOINES
State	:	IA
Zip	:	50322-4843
Country	:	US
Telephone Number	:	515-270-2486
Fax Number	:	515-270-8512

Provider Business Practice Location Address
First Line	:	7025 HICKMAN RD
Second Line	:	SUITE 1
City	:	DES MOINES
State	:	IA
Zip	:	50322-4843
Country	:	US
Telephone Number	:	515-270-2486
Fax Number	:	515-270-8512

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DEBBIE MARSHALL
Credential	:
Telephone Number	:	515-270-2486

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/21/2022

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Directions to “EYE HEALTH PHYSICIANS, P.C. ” Practice Location

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