Provider Demographics
NPI:1275692220
Name:IOWA EYE CARE PC
Entity Type:Organization
Organization Name:IOWA EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:NOYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-377-2222
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 1:1065 E POST RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-5214
Practice Address - Country:US
Practice Address - Phone:319-377-2222
Practice Address - Fax:319-377-2967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0461921Medicaid
0260340001Medicare NSC
I7594Medicare PIN