Provider Demographics
NPI:1689910218
Name:THE CHRISTIAN EYE CLINIC PLC
Entity Type:Organization
Organization Name:THE CHRISTIAN EYE CLINIC PLC
Other - Org Name:LOUD & CLEAR HEARING PLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHENOUDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-333-3333
Mailing Address - Street 1:PO BOX 7703
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50323-7703
Mailing Address - Country:US
Mailing Address - Phone:515-333-3333
Mailing Address - Fax:515-283-2020
Practice Address - Street 1:7011 DOUGLAS AVE.
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3223
Practice Address - Country:US
Practice Address - Phone:515-333-3333
Practice Address - Fax:515-283-2020
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHRISTIAN EYE CLINIC PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-01
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA207W00000X, 237700000X
237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1229203Medicaid