EYEOWA OPTICAL COMPANY


Address: 122 N Court St, Fairfield, IA 52556-2815
Phone: 6414726694

EYEOWA OPTICAL COMPANY (NPI# 1932356680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932356680
Entity Type Organization
Organization Name EYEOWA OPTICAL COMPANY
Practice Address 122 N Court St
Fairfield
IA 52556-2815
Practice Telephone 6414726694
Practice Fax Number 6414725979
Mailing Telephone 6414726694
Mailing Fax Number 6414725979
Enumeration Date 2008-08-25
Last Update Date 2008-08-25
Authorized Official Name JOHN P GENKINGER (OWNER)
Authorized Official Telephone 6414726694
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0263418 05

Office Location

Street Address 122 N COURT ST
City FAIRFIELD
State IA
Zip Code 52556-2815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699746644 Randall Ardell Liebe Optometrist 122 N Court St, Fairfield, IA 52556-2815 2006-01-29

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1902207442 Usv Optical Inc. Technician/Technologist 40 Black Rock Tpke, Fairfield, CT 06825-5507 2014-09-15
1477760494 Eyes of Fairfield Technician/Technologist 1350 Travis Blvd, #1414 A, Fairfield, CA 94533-4646 2007-05-17
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1942645056 John Robert Jansen Technician/Technologist 613 G Ave, Grundy Center, IA 50638 2013-05-02
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Competitor

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City FAIRFIELD
Zip Code 52556

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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