IOWA EYE PROSTHETICS INC. NPI 1205983897

NPI Information

NPI: 1205983897
Provider Name: IOWA EYE PROSTHETICS, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
625 1ST AVE
SUITE 200
CORALVILLE, IA
ZIP 52241
Phone: (319) 354-3434
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IOWA EYE PROSTHETICS, INC. is a customized equipment durable medical equipment medical supplies in Coralville, IA. IOWA EYE PROSTHETICS, INC. NPI is 1205983897. The provider is registered as an organization entity type.

The provider's business location address is:

625 1ST AVE
SUITE 200
CORALVILLE, IA
ZIP 52241-101
Phone: (319) 354-3434

The provider's authorized official is David Michael Bulgarelli .
The authorized official title is President, Ocularist and has the following contact phone number (319) 354-3434.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	081105-08 CERT#	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	63648	OTHER	IOWA	BC-BS OF KS
2	40219IO	OTHER	IOWA	BC-BS OF MN
3	12841	OTHER	IOWA	BC-BS DME
4	50796	OTHER	IOWA	BC-BS O & P
5	A001983	OTHER	IOWA	CHAMPUS
6	0128413	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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