Provider Demographics
NPI:1063222032
Name:FORESIGHT EYE CARE, PLLC
Entity type:Organization
Organization Name:FORESIGHT EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:LANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:712-540-5031
Mailing Address - Street 1:120 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3508
Mailing Address - Country:US
Mailing Address - Phone:712-546-4183
Mailing Address - Fax:
Practice Address - Street 1:120 1ST ST NW
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3508
Practice Address - Country:US
Practice Address - Phone:712-546-4183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty