International Eyecare Center, Inc.

NPI #1740461979 in Lavista, Nebraska

Provider Information

NPI Number: 1740461979
Entity Type: Organization
Organization Name: International Eyecare Center, Inc.
Primary Specialty: Optometrist
Enumeration Date: Nov 15, 2007
Last Updated: Jan 22, 2021

Practice Location

Address: 8102 S 84TH ST
City: Lavista
State: Nebraska
ZIP Code: 68128-3305
Phone: (402) 339-5550

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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