Provider Demographics
NPI:1154500171
Name:EYE CARE ASSOCIATES, P.C.
Entity type:Organization
Organization Name:EYE CARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-465-4203
Mailing Address - Street 1:405 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-1353
Mailing Address - Country:US
Mailing Address - Phone:641-747-8207
Mailing Address - Fax:515-465-5373
Practice Address - Street 1:405 STATE ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115-1353
Practice Address - Country:US
Practice Address - Phone:641-747-8207
Practice Address - Fax:515-465-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2062166Medicaid
IAP00204355OtherRAILROAD
IA2166322Medicaid
IADN4532OtherMEDICARE RAILROAD
IAP00620439OtherMEDICARE RAILROAD
IA2147579Medicaid
IAP00230147OtherRAILROAD
IAT92981Medicare UPIN
IA29243Medicare PIN
IAP00230147OtherRAILROAD
IA2062166Medicaid
IA2147579Medicaid
IA16632Medicare PIN