Provider Demographics
NPI:1962821256
Name:EYE CARE OF IOWA P.C.
Entity Type:Organization
Organization Name:EYE CARE OF IOWA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLASCO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-965-5788
Mailing Address - Street 1:1310 SW STATE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2550
Mailing Address - Country:US
Mailing Address - Phone:515-965-5788
Mailing Address - Fax:
Practice Address - Street 1:1310 SW STATE ST
Practice Address - Street 2:SUITE A
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-2550
Practice Address - Country:US
Practice Address - Phone:515-965-5788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty