MIDWEST EYE CARE PC NPI 1093867301

NPI Information

NPI: 1093867301
Provider Name: MIDWEST EYE CARE PC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
715 HARMONY ST STE 300
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (402) 552-2020
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MIDWEST EYE CARE PC is an optician technician technologist in Council Bluffs, IA. MIDWEST EYE CARE PC NPI is 1093867301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

715 HARMONY ST STE 300
COUNCIL BLUFFS, IA
ZIP 51503-147
Phone: (402) 552-2020

The provider's authorized official is Jay Slagle .
The authorized official title is Ceo and has the following contact phone number (402) 552-2020.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 1/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1211300004	MEDICARE ID-TYPE UNSPECIFIED	IOWA
2	0208140	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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