| Organization Name: | IOWA EYE INSTITUTE, P.C. |
| NPI Number: | 1255330460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS D GORDY (PRESIDENT) |
| Mailing Address: | 1721 W 18th St Box 420 Spencer |
| State: | IA US |
| Postal Code: | 513012827 |
| Phone Number: | 7122628878 |
| Fax Number: | 7122628807 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 06/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 0216470001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |