Provider Demographics
NPI:1437128394
Name:IOWA RETINA CONSULTANTS, PC
Entity Type:Organization
Organization Name:IOWA RETINA CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-222-6400
Mailing Address - Street 1:1501 50TH ST
Mailing Address - Street 2:SUITE 133
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266
Mailing Address - Country:US
Mailing Address - Phone:515-222-6400
Mailing Address - Fax:515-222-6406
Practice Address - Street 1:1501 50TH ST
Practice Address - Street 2:SUITE 133
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-222-6400
Practice Address - Fax:515-225-8921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
70072Medicare ID - Type Unspecified