Provider Demographics
NPI:1306188487
Name:SLIWINSKI FAMILY EYECARE
Entity Type:Organization
Organization Name:SLIWINSKI FAMILY EYECARE
Other - Org Name:MIDWEST EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:SLIWINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-774-6573
Mailing Address - Street 1:2930 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-1616
Mailing Address - Country:US
Mailing Address - Phone:319-754-5518
Mailing Address - Fax:
Practice Address - Street 1:2930 DIVISION ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-1616
Practice Address - Country:US
Practice Address - Phone:319-754-5518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002525152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0502600Medicaid
IA7583380001Medicare NSC
IAIB3729002Medicare PIN