MEDICARE: DISCERNING EYE

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	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1962620252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCERNING EYE

Provider Business Mailing Address
First Line	:	119 E WASHINGTON ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-3925
Country	:	US
Telephone Number	:	319-338-6800
Fax Number	:	319-338-2165

Provider Business Practice Location Address
First Line	:	119 E WASHINGTON ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-3925
Country	:	US
Telephone Number	:	319-338-6800
Fax Number	:	319-338-2165

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. JONI LONG
Credential	:
Telephone Number	:	319-338-6800

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/03/2010

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