20-20 Vision Wear LTD
Organization Active NPI Durable Medical Equipment & Medical Supplies · Council Bluffs, IA
NPI 1609952191 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1609952191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 20-20 VISION WEAR LTD
- Practice address
- 130 W Broadway
Council Bluffs, IA 51503-4311 - Phone
- (712) 325-4999
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas Carl Gardner
- Title
- Pres
- Phone
- (712) 325-4999
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
130 W Broadway
Council Bluffs, IA 51503-4311
Mailing address
130 W Broadway
Council Bluffs, IA 51503-4311
Phone (712) 325-4999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137729 | Medicaid | IA |
Other providers in Council Bluffs, IA
All providers in Council Bluffs, IA · Durable Medical Equipment & Medical Supplies in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.