Provider Demographics
NPI:1275161549
Name:METRO EYECARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:METRO EYECARE ASSOCIATES LLC
Other - Org Name:EYECARE ASSOCIATES OF ANKENY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANAE
Authorized Official - Middle Name:
Authorized Official - Last Name:JELSMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-964-7355
Mailing Address - Street 1:111 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-1754
Mailing Address - Country:US
Mailing Address - Phone:515-964-7355
Mailing Address - Fax:515-964-8413
Practice Address - Street 1:111 NW 9TH ST STE 1
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-1754
Practice Address - Country:US
Practice Address - Phone:515-964-7355
Practice Address - Fax:515-964-8413
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METRO EYECARE ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-31
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty