Provider Demographics
NPI:1427246263
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:PO BOX 228
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:IA
Mailing Address - Zip Code:50129-0228
Mailing Address - Country:US
Mailing Address - Phone:515-386-3513
Mailing Address - Fax:515-465-5373
Practice Address - Street 1:207 N CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:IA
Practice Address - Zip Code:50129-1906
Practice Address - Country:US
Practice Address - Phone:515-386-3513
Practice Address - Fax:515-465-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAT71266152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA4147579Medicaid
IA4166322Medicaid
IAP00230147OtherRAILROAD
IAP00204355OtherRAILROAD
IA4062166Medicaid
IAP00230147OtherRAILROAD
IA4166322Medicaid
IA02124Medicare PIN
IA12189Medicare PIN
IA0547170001Medicare NSC