MEDICARE: THE CHRISTIAN EYE CLINIC PLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	237700000X	Hearing Instrument Specialist
2	237700000X	Hearing Instrument Specialist	IA
3	207W00000X	Ophthalmology Physician	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	:	1689910218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CHRISTIAN EYE CLINIC PLC

Provider Business Mailing Address
First Line	:	PO BOX 7703
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50323-7703
Country	:	US
Telephone Number	:	515-333-3333
Fax Number	:	515-283-2020

Provider Business Practice Location Address
First Line	:	7011 DOUGLAS AVE.
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50322-3223
Country	:	US
Telephone Number	:	515-333-3333
Fax Number	:	515-283-2020

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EMAD R SHENOUDA
Credential	:	MD
Telephone Number	:	515-333-3333

Provider Enumeration Date	:	01/01/2013
Last Update Date	:	06/12/2018

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Directions to “THE CHRISTIAN EYE CLINIC PLC ” Practice Location

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