Taylor Vision Pc | |
928 Valley View Dr Ste 17, Council Bluffs, IA 51503-5288 | |
(712) 256-8898 | |
(712) 256-0419 |
Full Name | Taylor Vision Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 928 Valley View Dr Ste 17, Council Bluffs, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538436761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2508 (Iowa) | Primary |
Provider Name | Matthew Robert Taylor |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487969002 PECOS PAC ID: 7618166232 Enrollment ID: I20110721000221 |
Mailing Address | Practice Location Address |
---|---|
Taylor Vision Pc 928 Valley View Dr Ste 17, Council Bluffs, IA 51503-5288 Ph: (712) 256-8898 | Taylor Vision Pc 928 Valley View Dr Ste 17, Council Bluffs, IA 51503-5288 Ph: (712) 256-8898 |
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