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Contact Information

MIDWEST VISION CLINIC PLC
425 S 2ND ST
CLINTON, IA52732
 Phone: 563-242-0223
 Fax: 563-242-6864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MIDWEST VISION CLINIC PLC

NPI Number 1245254648
LBN Legal business name MIDWEST VISION CLINIC PLC
Authorized official BRIAN PECK - (OWNER OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2006
Last updated 12/18/2007 - About 18 years ago
Identifiers
IA Medicaid 0183616
IA Other 48076 BLUECROSS BLUESHIELD
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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