International Eyecare Center, INC

NPI #1598188856 in Fort Madison, Iowa

Provider Information

NPI Number: 1598188856
Entity Type: Organization
Organization Name: International Eyecare Center, INC
Primary Specialty: Optometrist
Enumeration Date: Jan 22, 2014
Last Updated: Jan 22, 2021

Practice Location

Address: 619 10TH ST
City: Fort Madison
State: Iowa
ZIP Code: 52627-2831
Phone: (319) 372-5181

Authorized Official

Name: CATHY LEE SHORT
Title: CREDENTIALING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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