Contract Details
American Eyecare PC
Facility name
American Eyecare PC
Provider ID
P000004560
NPI
1447349279
Tax ID
421213277
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
2025 Main
Keokuk, IA 52632
United States
County
Lee
Phone
3195242020 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address