Provider Demographics
NPI:1760090120
Name:AMY HARTMANN EYE CARE, LLC
Entity Type:Organization
Organization Name:AMY HARTMANN EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:POLLASTRINI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:319-352-2020
Mailing Address - Street 1:3217 CEDAR HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6039
Mailing Address - Country:US
Mailing Address - Phone:319-260-2620
Mailing Address - Fax:319-260-2620
Practice Address - Street 1:3217 CEDAR HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6039
Practice Address - Country:US
Practice Address - Phone:319-260-2620
Practice Address - Fax:319-260-2620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty