Provider Demographics
NPI:1073867982
Name:LINN COUNTY EYE CARE PLC
Entity Type:Organization
Organization Name:LINN COUNTY EYE CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:319-294-8888
Mailing Address - Street 1:915 ROBINS SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:ROBINS
Mailing Address - State:IA
Mailing Address - Zip Code:52328-9649
Mailing Address - Country:US
Mailing Address - Phone:319-294-8888
Mailing Address - Fax:319-294-4299
Practice Address - Street 1:510 10TH ST SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-1207
Practice Address - Country:US
Practice Address - Phone:319-365-2868
Practice Address - Fax:319-365-7831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty