| Eye Care Pavilion Plc | |
|
4310 E 53rd St, Davenport, IA 52807-3039 | |
| (563) 324-2020 | |
| (563) 323-0949 |
| Full Name | Eye Care Pavilion Plc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4310 E 53rd St, Davenport, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083684211 | NPI | - | NPPES |
| 0448712 | Medicaid | IA | |
| 37835 | Other | IA | BCBS OF IOWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Melissa J Hogren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538148622 PECOS PAC ID: 4587612361 Enrollment ID: I20050111000446 |
| Provider Name | Carla S Courtney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801845581 PECOS PAC ID: 3072559376 Enrollment ID: I20050707000768 |
| Provider Name | Shari Ann Selander-storm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043332059 PECOS PAC ID: 4082837125 Enrollment ID: I20140519001426 |
| Provider Name | Eric T Kitzmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134500200 PECOS PAC ID: 6800109240 Enrollment ID: I20150714003016 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Care Pavilion Plc 4310 E 53rd St, Davenport, IA 52807-3039 Ph: (563) 324-2020 | Eye Care Pavilion Plc 4310 E 53rd St, Davenport, IA 52807-3039 Ph: (563) 324-2020 |
Richard Paul Hintz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 310 W Locust St, Davenport, IA 52803 Phone: 563-324-2020 Fax: 563-323-0949 | |
Dr. Shari Ann Selander-storm, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4310 E 53rd St, Davenport, IA 52807 Phone: 563-324-2020 | |
Lifetime Eyehealth Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1718 E Kimberly Rd, Davenport, IA 52807 Phone: 563-355-3912 Fax: 563-359-4108 | |
Teleoptometric Service, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2790 E 53rd St, Davenport, IA 52807 Phone: 563-893-7017 | |
Dr. Ronald Leslie Borcherding, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3101 W Kimberly Rd, Davenport, IA 52806 Phone: 563-445-0152 Fax: 563-445-0578 | |
Eric Kitzmann, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4310 E 53rd St, Davenport, IA 52807 Phone: 563-324-2020 |