Provider Demographics
NPI:1023888286
Name:ADVANCED EYECARE LLC
Entity type:Organization
Organization Name:ADVANCED EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:319-338-7952
Mailing Address - Street 1:201 S CLINTON ST STE 179
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4036
Mailing Address - Country:US
Mailing Address - Phone:319-338-7952
Mailing Address - Fax:319-338-6931
Practice Address - Street 1:201 S CLINTON ST STE 179
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4036
Practice Address - Country:US
Practice Address - Phone:319-338-7952
Practice Address - Fax:319-338-6931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty