Provider Demographics
NPI:1699314815
Name:AMERICAN EYECARE PC
Entity type:Organization
Organization Name:AMERICAN EYECARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:W
Authorized Official - Last Name:RUHL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:319-754-2020
Mailing Address - Street 1:2743 MOUNT PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-2137
Mailing Address - Country:US
Mailing Address - Phone:319-754-2020
Mailing Address - Fax:319-758-2823
Practice Address - Street 1:1802 E WASHINGTON ST STE 101
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-3217
Practice Address - Country:US
Practice Address - Phone:319-385-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty