Provider Demographics
NPI:1760670665
Name:TUTTLE EYE CARE, INC.
Entity Type:Organization
Organization Name:TUTTLE EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:TUTTLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-230-4214
Mailing Address - Street 1:2801 GRAND AVE STE 1025
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-4641
Mailing Address - Country:US
Mailing Address - Phone:515-233-5664
Mailing Address - Fax:515-233-6272
Practice Address - Street 1:2801 GRAND AVE STE 1025
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-4641
Practice Address - Country:US
Practice Address - Phone:515-233-5664
Practice Address - Fax:515-233-6272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002407152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty