Provider Demographics
NPI:1508054032
Name:EYE CARE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:EYE CARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-465-4203
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:PANORA
Mailing Address - State:IA
Mailing Address - Zip Code:50216-0065
Mailing Address - Country:US
Mailing Address - Phone:641-755-3699
Mailing Address - Fax:515-465-5373
Practice Address - Street 1:611 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PANORA
Practice Address - State:IA
Practice Address - Zip Code:50216-1097
Practice Address - Country:US
Practice Address - Phone:641-755-3699
Practice Address - Fax:515-465-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA5062166Medicaid
IA5166322Medicaid
IAP00204355OtherRAILROAD
IAP00230147OtherRAILROAD
IA3147579Medicaid
IAT92981Medicare UPIN
IA0547170006Medicare NSC
IA15621Medicare PIN
IAP00230147OtherRAILROAD
IAT71266Medicare UPIN
IA5166322Medicaid