Eyecare Associates of Southwest Iowa INC

NPI #1801887484 in Clarinda, Iowa

Provider Information

NPI Number: 1801887484
Entity Type: Organization
Organization Name: Eyecare Associates of Southwest Iowa INC
Primary Specialty: Optometrist
Enumeration Date: Nov 2, 2005
Last Updated: Aug 3, 2012

Practice Location

Address: 116 E WASHINGTON ST
City: Clarinda
State: Iowa
ZIP Code: 51632-1611
Phone: (712) 542-6513

Authorized Official

Name: GREGORY L SAMUELSON, O.D.
Title: SECRETARY/TREASURER/OWNER
Phone: (712) 542-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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