Provider Demographics
NPI:1881015311
Name:AUGUSTIN EYE CARE, PLC
Entity Type:Organization
Organization Name:AUGUSTIN EYE CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-201-1711
Mailing Address - Street 1:2261 4TH ST SW
Mailing Address - Street 2:SUITE B
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-4606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2261 4TH ST SW
Practice Address - Street 2:SUITE B
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-4606
Practice Address - Country:US
Practice Address - Phone:641-201-1711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002521152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty