Organization Name: | STATE UNIVERSITY OF IOWA |
NPI Number: | 1861885071 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK E WILKINSON (OPTICIAN) |
Mailing Address: | 105 E 9th St Ste 2400 Coralville |
State: | IA US |
Postal Code: | 522412209 |
Phone Number: | 3194672125 |
Fax Number: | 3194672128 |
NPI Enumeration Date: | 03/12/2015 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |