Provider Demographics
NPI:1942391610
Name:HEARTLAND EYE CARE PLC
Entity Type:Organization
Organization Name:HEARTLAND EYE CARE PLC
Other - Org Name:HEARTLAND EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-682-8571
Mailing Address - Street 1:101 BENTON AVE E
Mailing Address - Street 2:
Mailing Address - City:ALBIA
Mailing Address - State:IA
Mailing Address - Zip Code:52531-2034
Mailing Address - Country:US
Mailing Address - Phone:641-682-8571
Mailing Address - Fax:641-682-8573
Practice Address - Street 1:101 BENTON AVE E
Practice Address - Street 2:
Practice Address - City:ALBIA
Practice Address - State:IA
Practice Address - Zip Code:52531-2034
Practice Address - Country:US
Practice Address - Phone:641-932-7154
Practice Address - Fax:641-932-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0182097Medicaid
IA0182097Medicaid