Provider Demographics
NPI:1720478282
Name:VISION CARE CLINIC, P.C.
Entity Type:Organization
Organization Name:VISION CARE CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOWKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:712-263-2020
Mailing Address - Street 1:605 9TH ST
Mailing Address - Street 2:
Mailing Address - City:HAWARDEN
Mailing Address - State:IA
Mailing Address - Zip Code:51023-2220
Mailing Address - Country:US
Mailing Address - Phone:712-551-1603
Mailing Address - Fax:712-551-1490
Practice Address - Street 1:605 9TH ST
Practice Address - Street 2:
Practice Address - City:HAWARDEN
Practice Address - State:IA
Practice Address - Zip Code:51023-2220
Practice Address - Country:US
Practice Address - Phone:712-551-1603
Practice Address - Fax:712-551-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty