| Mr Bruce Richard Landis, OD | |
|
202 S Main St, Elkader, IA 52043-9078 | |
| (563) 245-2304 | |
| (563) 245-2392 |
| Full Name | Mr Bruce Richard Landis |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 46 Years |
| Location | 202 S Main St, Elkader, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154318772 | NPI | - | NPPES |
| 0069633 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1715 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Woodland Eye Clinic Pc | 4486883998 | 5 |
| Provider Name | Elkader Eye Clinic, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093867574 PECOS PAC ID: 7517950546 Enrollment ID: O20040406000770 |
| Provider Name | Woodland Eye Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053741983 PECOS PAC ID: 4486883998 Enrollment ID: O20140203001550 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bruce Richard Landis, OD 202 S Main St, Po Box 100, Elkader, IA 52043-0100 Ph: (563) 245-2304 | Mr Bruce Richard Landis, OD 202 S Main St, Elkader, IA 52043-9078 Ph: (563) 245-2304 |
Elkader Eye Care, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 202 S Main St, Elkader, IA 52043 Phone: 563-245-2304 Fax: 563-245-2392 | |
Tristan Voelker, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 202 S Main St, Elkader, IA 52043 Phone: 563-245-2304 | |
Woodland Eye Clinic, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 202 S Main St, Elkader, IA 52043 Phone: 563-245-2304 Fax: 563-245-2392 |