Provider Demographics
NPI:1477528792
Name:EYE PHYSICIANS & SURGEONS, LLP
Entity Type:Organization
Organization Name:EYE PHYSICIANS & SURGEONS, LLP
Other - Org Name:IOWA CITY OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LYSE
Authorized Official - Middle Name:S
Authorized Official - Last Name:STRNAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-338-0868
Mailing Address - Street 1:2629 NORTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9565
Mailing Address - Country:US
Mailing Address - Phone:319-338-0868
Mailing Address - Fax:319-338-7289
Practice Address - Street 1:2629 NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9565
Practice Address - Country:US
Practice Address - Phone:319-338-0868
Practice Address - Fax:319-338-7289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0259870001Medicare NSC