Elite Eye Care PC
Optometrist in Waukee, IA. Organization (NPI-2).
NPI number1700103850
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1700103850
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Eye Care PC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2010
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 02216 | IA | Yes |
Practice location
1350 Se University AveWaukee, IA 50263-8933
Phone 515-987-3937
Mailing address
1350 Se University AveWaukee, IA 50263-8933
Phone 515-987-3937
Authorized official
Ethan Huisman
President
5159873937
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All 11 Optometrist providers in Waukee · All 429 providers in Waukee
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