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Contact Information

EYEOWA WATERLOO LLC
1523 AND 1525 E. SAN MARNAN DR
WATERLOO, IA50702
 Phone: 956-335-6476
 Fax: 561-828-8367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EYEOWA WATERLOO LLC

NPI Number 1912626821
LBN Legal business name EYEOWA WATERLOO LLC
Authorized official DANIEL GARZA - (MANAGED CARE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2022
Last updated 09/01/2022 - About 4 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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