Provider Demographics
NPI:1275161549
Name:METRO EYECARE ASSOCIATES LLC
Entity type:Organization
Organization Name:METRO EYECARE ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TYKEIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-270-0494
Mailing Address - Street 1:5501 NW 86TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1815
Mailing Address - Country:US
Mailing Address - Phone:515-270-0494
Mailing Address - Fax:515-270-6463
Practice Address - Street 1:5501 NW 86TH ST STE 500
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1815
Practice Address - Country:US
Practice Address - Phone:515-270-0494
Practice Address - Fax:515-270-6463
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METRO EYECARE ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-31
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty