| Eye Surgeons Associates Pc | |
| 777 Tanglefoot Lane, Bettendorf, IA 52722-1650 | |
| (563) 323-2020 | |
| (563) 328-5694 | 
| Full Name | Eye Surgeons Associates Pc | 
|---|---|
| Type | Facility | 
| Speciality | Ophthalmology | 
| Location | 777 Tanglefoot Lane, Bettendorf, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386607562 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary | 
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary | 
| Provider Name | Chad R Kluver | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1982680237 PECOS PAC ID: 6002875101 Enrollment ID: I20041005000753 | 
| Provider Name | Tina J Eckhardt | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1952373383 PECOS PAC ID: 6608884630 Enrollment ID: I20060404000736 | 
| Provider Name | Brian David Hansel | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1982833653 PECOS PAC ID: 9638215882 Enrollment ID: I20091001000640 | 
| Provider Name | Nikhil Sudhakar Wagle | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1003893454 PECOS PAC ID: 0547160475 Enrollment ID: I20100511000087 | 
| Provider Name | William Joseph Benevento | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1134106594 PECOS PAC ID: 1254238280 Enrollment ID: I20100601000504 | 
| Provider Name | James G Wymore | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1477530830 PECOS PAC ID: 4789626672 Enrollment ID: I20100601000720 | 
| Provider Name | Michael Douglas Boehm | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1912984360 PECOS PAC ID: 2264476985 Enrollment ID: I20100604000845 | 
| Provider Name | John Charles Frederick | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1043297492 PECOS PAC ID: 1355248386 Enrollment ID: I20100604000892 | 
| Provider Name | Beth Renea Repp | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1194987016 PECOS PAC ID: 7214000371 Enrollment ID: I20110823000101 | 
| Provider Name | Martin Russell O'malley | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1750545455 PECOS PAC ID: 2769538990 Enrollment ID: I20141001001329 | 
| Provider Name | Scott Baldwin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1366794695 PECOS PAC ID: 6406169556 Enrollment ID: I20150717001349 | 
| Provider Name | Jonathan Ryan Isgrig | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1376953042 PECOS PAC ID: 3870806409 Enrollment ID: I20150806011661 | 
| Provider Name | Carlton Robert Fenzl | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1386958064 PECOS PAC ID: 4880818343 Enrollment ID: I20150813010785 | 
| Provider Name | Daniel J Repp | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1275763369 PECOS PAC ID: 8820282528 Enrollment ID: I20151105001914 | 
| Provider Name | Sarah R Burgett | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1467715276 PECOS PAC ID: 7012160534 Enrollment ID: I20160209001265 | 
| Provider Name | Richard W Yemm | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1326498593 PECOS PAC ID: 1951689926 Enrollment ID: I20200708000527 | 
| Provider Name | Jeffrey S Heden | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1770580797 PECOS PAC ID: 4486737657 Enrollment ID: I20221102002337 | 
| Provider Name | Connor Steven Davenport | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1063918217 PECOS PAC ID: 7719229582 Enrollment ID: I20230802002017 | 
| Provider Name | Clayton D Kirk | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1174011761 PECOS PAC ID: 8729460779 Enrollment ID: I20240911000092 | 
| Provider Name | Karsen Hise Maxwell | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1619653995 PECOS PAC ID: 2163881103 Enrollment ID: I20241001001897 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eye Surgeons Associates Pc 777 Tanglefoot Lane, Bettendorf, IA 52722-1650 Ph: (563) 323-2020 | Eye Surgeons Associates Pc 777 Tanglefoot Lane, Bettendorf, IA 52722-1650 Ph: (563) 323-2020 |