Provider Demographics
NPI:1144657354
Name:VISION CARE CLINIC, P.C.
Entity type:Organization
Organization Name:VISION CARE CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BOWKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:712-263-2020
Mailing Address - Street 1:200 S 29TH ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-3449
Mailing Address - Country:US
Mailing Address - Phone:712-325-4999
Mailing Address - Fax:712-256-4073
Practice Address - Street 1:200 S 29TH ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-3449
Practice Address - Country:US
Practice Address - Phone:712-325-4999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty