Provider Demographics
NPI:1023032562
Name:MAUER VISION CENTER PC
Entity Type:Organization
Organization Name:MAUER VISION CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-234-6749
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677
Mailing Address - Country:US
Mailing Address - Phone:319-352-2020
Mailing Address - Fax:319-352-0006
Practice Address - Street 1:124 2ND ST NE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677
Practice Address - Country:US
Practice Address - Phone:319-352-2020
Practice Address - Fax:319-352-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24873207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IACI4365OtherRAILROAD MEDICARE
IAI7719Medicare ID - Type Unspecified
IA1246440001Medicare NSC