| Karsen Hise Maxwell, OD | |
| 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 | |
| (563) 323-2020 | |
| (563) 328-5699 | 
| Full Name | Karsen Hise Maxwell | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 777 Tanglefoot Ln, Bettendorf, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619653995 | NPI | - | NPPES | 
| 046.011915 | Other | IL | ILLINOIS STATE MEDICAL BOARD | 
| 126421 | Other | IA | IOWA STATE MEDICAL BOARD | 
| 10901 | Other | TX | TEXAS OPTOMETRY BOARD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 126421 (Iowa) | Primary | 
| 152W00000X | Optometrist | 046.011915 (Illinois) | Secondary | 
| Provider Name | University Of Houston System | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1861493140 PECOS PAC ID: 6901896356 Enrollment ID: O20041005000564 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Karsen Hise Maxwell, OD 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 Ph: (563) 323-2020 | Karsen Hise Maxwell, OD 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 Ph: (563) 323-2020 | 
| Waddingham-urbaitis And Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3625 Utica Ridge Road, Bettendorf, IA 52722 Phone: 563-355-4716 | |
| Dr. Michael Joseph Hittenmiller, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-328-5694 | |
| Chizek Family Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1875 Middle Rd, Bettendorf, IA 52722 Phone: 563-359-4446 Fax: 563-359-0381 | |
| Scott Baldwin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-459-6615 | |
| Dr. Jonathan Ryan Isgrig, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-459-6676 Fax: 563-459-6615 | |
| Eye Surgeons Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 777 Tanglefoot Lane, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-328-5694 | |
| Dr. Michael James Ringblum, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3378 Middle Rd, Bettendorf, IA 52722 Phone: 563-332-7478 Fax: 563-332-7304 |