Provider Demographics
NPI:1912517137
Name:I CARE OF THE CEDAR VALLEY PLC
Entity Type:Organization
Organization Name:I CARE OF THE CEDAR VALLEY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:563-260-5067
Mailing Address - Street 1:2346 MORMON TREK BLVD
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-4371
Mailing Address - Country:US
Mailing Address - Phone:319-338-2020
Mailing Address - Fax:319-341-7884
Practice Address - Street 1:2346 MORMON TREK BLVD STE 1400
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-4372
Practice Address - Country:US
Practice Address - Phone:319-338-2020
Practice Address - Fax:319-341-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty