DAVENPORT EYE GROUP PC NPI 1508838954

NPI Information

  • NPI: 1508838954
  • Provider Name: DAVENPORT EYE GROUP PC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 1230 E RUSHOLME ST
    STE 203
    DAVENPORT, IA
    ZIP 52803
  • Phone: (563) 322-0923

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NPI Details

DAVENPORT EYE GROUP PC is an ophthalmology in Davenport, IA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DAVENPORT EYE GROUP PC NPI is 1508838954. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1230 E RUSHOLME ST
STE 203
DAVENPORT, IA
ZIP 52803-400
Phone: (563) 322-0923
Fax: (563) 322-7403

The provider's authorized official is Siv Brit Saetre .
The authorized official title is President and has the following contact phone number (563) 322-0923.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 9/23/2009.

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
1152W00000XOptometristNo
2332H00000XEyewear SupplierNo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
4207W00000XOphthalmologyYes

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
171964MEDICARE ID-TYPE UNSPECIFIED
2CE7597OTHERMEDICARE RR
30286468MEDICAIDIOWA
40535960001MEDICARE NSCIOWA
50535960001MEDICARE NSCILLINOIS
671964MEDICARE PINIOWA

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: 11/21/2025

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