Vision Care Clinic
Specialist in Missouri Valley, IA. Organization (NPI-2).
NPI number1043426331
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043426331
- Entity type
- Organization (NPI-2)
- Legal business name
- Vision Care Clinic
- Organization subpart
- No
- Enumeration date
- May 15, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
308 E Erie StMissouri Valley, IA 51555-1619
Phone 712-642-4146
Mailing address
11606 Nicholas StSuite 200
Omaha, NE 68154-4478
Phone 402-493-2020 · Fax 402-493-8341
Authorized official
Sao Jang Liu
Medical Director
4024932020
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