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Contact Information

EYEWEAR GALLERY
101 N MAIN ST
MAQUOKETA, IA52060
 Phone: 563-659-2020
 Fax: 563-659-2121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYEWEAR GALLERY

NPI Number 1730669433
LBN Legal business name EYEWEAR GALLERY
Authorized official JACOB HAYWARD - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/21/2018
Last updated 09/11/2018 - About 8 years ago
Identifiers n/a
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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