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General NPI Number Information
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NPI Number | 1619937133
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Entity Type | Organization
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Legal Business Name | IOWA EYECARE ASSOCIATES PC
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 999 HOME PLZ SUITE 100
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City | WATERLOO
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State | IA
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Zip | 50701-4822
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Country | US
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Telephone | 319-236-0815
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Fax | 319-234-0847
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Provider Business Mailing Address
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Address Line | 309 E CHURCH ST
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-2919
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Country | US
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Telephone | 641-754-6200
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Fax | 641-754-6215
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DAVID MOENCH
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Credential |
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Telephone | 641-754-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | IA
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