Provider Demographics
NPI:1689915340
Name:ALBERHASKY EYE CLINIC PC
Entity Type:Organization
Organization Name:ALBERHASKY EYE CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERHASY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:319-338-2020
Mailing Address - Street 1:2346 MORMON TREK BLVD
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-4371
Mailing Address - Country:US
Mailing Address - Phone:319-338-2020
Mailing Address - Fax:319-341-7884
Practice Address - Street 1:2346 MORMON TREK BLVD
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-4371
Practice Address - Country:US
Practice Address - Phone:319-338-2020
Practice Address - Fax:319-341-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIA2002152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty