| Eyecare Centre | |
|
2312 23rd Street, Spirit Lake, IA 51360-0328 | |
| (712) 336-1960 | |
| Not Available |
| Full Name | Eyecare Centre |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2312 23rd Street, Spirit Lake, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750315040 | NPI | - | NPPES |
| 0286104 | Medicaid | IA | |
| 29415 | Other | IA | GROUP WELLMARK BCBS |
| 1162032 | Medicaid | IA | |
| 28610 | Other | IA | DR. N WELLMARK BCBS |
| 40832 | Other | IA | DR. C. WELLMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 02082 (Iowa) | Primary |
| 152W00000X | Optometrist | 01903 (Iowa) | Secondary |
| Provider Name | Dawn M Webb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942343710 PECOS PAC ID: 9436281540 Enrollment ID: I20100723000911 |
| Provider Name | Kelly J Norland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598781759 PECOS PAC ID: 6901790005 Enrollment ID: I20100824000974 |
| Provider Name | Randall F Cornwall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619901550 PECOS PAC ID: 0648164749 Enrollment ID: I20100827000616 |
| Provider Name | Samuel W Butler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538247135 PECOS PAC ID: 2365336468 Enrollment ID: I20110103000161 |
| Provider Name | Jacob Ray Jenness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326787763 PECOS PAC ID: 7618356957 Enrollment ID: I20230831003421 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Centre 2312 23rd Street, Po Box Ag, Spirit Lake, IA 51360-0328 Ph: (712) 336-1960 | Eyecare Centre 2312 23rd Street, Spirit Lake, IA 51360-0328 Ph: (712) 336-1960 |
Dr. David Ray Haisman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2200 17th St, Spirit Lake, IA 51360 Phone: 712-336-8939 Fax: 712-336-8952 | |
Robert L. Livingston, O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2600 Highway 9/71, Spirit Lake, IA 51360 Phone: 712-336-8939 Fax: 712-336-8952 | |
Tarra Vander Leest Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1306 18th St, Suite E, Spirit Lake, IA 51360 Phone: 712-336-4401 Fax: 712-336-4403 | |
Tarra L Vander Leest, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1306 18th St, Suite E, Spirit Lake, IA 51360 Phone: 712-336-4401 Fax: 712-336-4403 | |
Dr. Kelly Norland, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2312 23rd St, Spirit Lake, IA 51360 Phone: 712-336-1960 Fax: 712-336-5428 | |
Dr. Randy Franklin Cornwall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2312 23rd Street, Spirit Lake, IA 51360 Phone: 712-336-1960 |