Provider Demographics
NPI:1508392747
Name:EYE PHYSICIANS AND SURGEONS L L P
Entity Type:Organization
Organization Name:EYE PHYSICIANS AND SURGEONS L L P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-338-3623
Mailing Address - Street 1:301 W MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-2112
Mailing Address - Country:US
Mailing Address - Phone:319-385-9534
Mailing Address - Fax:319-385-9413
Practice Address - Street 1:301 W MONROE ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-2112
Practice Address - Country:US
Practice Address - Phone:319-385-9534
Practice Address - Fax:319-385-9413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-09
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier