Healthcare Provider Details

I. General information

NPI: 1063074680
Provider Name (Legal Business Name): PRECISION EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 1ST ST W
INDEPENDENCE IA
50644-2316
US

IV. Provider business mailing address

1129 E SEERLEY BLVD
CEDAR FALLS IA
50613-5207
US

V. Phone/Fax

Practice location:
  • Phone: 319-334-6087
  • Fax:
Mailing address:
  • Phone: 641-295-1089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State

VIII. Authorized Official

Name: BRAD BOYLE
Title or Position: OPTOMETRIST
Credential: OD
Phone: 641-295-1089