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Contact Information

IOWA EYE INSTITUTE PC
1721 W 18TH ST
SPENCER, IA51301-2827
 Phone: 712-262-8878
 Fax: 712-262-8807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for IOWA EYE INSTITUTE PC

NPI # 1831198191
LBN Legal business name IOWA EYE INSTITUTE PC
Authorized official DENNIS GORDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2005
Last updated 09/27/2011 - About 15 years ago
Identifiers
IA Medicaid 0610048
IA Other 61004 WELLMARK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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