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NPI Code Detail

MEDICARE: EYE CARE OPTICAL, LLC

MEDICARE: EYE CARE OPTICAL, LLC
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
1332H00000XEyewear Supplier

Other Identifiers

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

General Provider Information

NPI Number : 1891847349
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE CARE OPTICAL, LLC
Provider Business Mailing Address
First Line : 309 E CHURCH ST
Second Line :
City : MARSHALLTOWN
State : IA
Zip : 50158-2946
Country : US
Telephone Number : 641-754-6200
Fax Number : 641-754-6245
Provider Business Practice Location Address
First Line : 2020 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8772
Country : US
Telephone Number : 515-663-4800
Fax Number : 515-663-4818
Authorized Official
Title or Position : CFO
Name : DENNY L STARR
Credential :
Telephone Number : 641-754-6200
Provider Enumeration Date : 01/17/2007
Last Update Date : 02/12/2015

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Directions to “EYE CARE OPTICAL, LLC ” Practice Location

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