Broadway Vision Source, Incorporated is a Optometrist Center in Eagle Grove, Iowa. This organization is also known as sub part of Broadway Vision Source, Incorporated. It is situated at 300 W Broadway St, Eagle Grove and its contact number is 515-448-3813. The authorized person of Broadway Vision Source, Incorporated is Brandon S Hauck
who is Owner of the clinic and their contact number is 515-448-3813. Broadway Vision Source, Incorporated Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Broadway Vision Source, Incorporated Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
300 W Broadway St, Eagle Grove, Iowa, 50533-1712
Phone:
515-448-3813
Fax:
515-448-3885
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Brandon S Hauck
Position:
Owner
Contact Number:
515-448-3813
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Broadway Vision Source, Incorporated Center are as mentioned below.
NPI Number:
1710456249
Parent Organization:
Broadway Vision Source, Incorporated
NPI Enumeration Date:
14 Nov, 2018
NPI Last Update On:
14 Nov, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broadway Vision Source, Incorporated are as mentioned below.
Specialization
License Number
State
Status
Optometrist
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1346620432
Other
Iowa
Individual Npi
1346620432
Medicaid
Iowa
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Broadway Vision Source, Incorporated 300 W Broadway St, P.o Box 459 Eagle Grove, Iowa
Zip:
50533-1712
Phone Number:
515-448-3813
Fax Number:
515-448-3885
Patients can reach Broadway Vision Source, Incorporated at 300 W Broadway St, Eagle Grove, Iowa or can call to book an appointment on 515-448-3813. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.