NPI 1912626821
Eyeowa Waterloo LLC
Practice location
- Address
- 1523 and 1525 E. San Marnan Dr, Waterloo, IA 50702
- Phone
- (956) 335-6476
- Fax
- (561) 828-8367
- Mailing address
- 1523-1525 E. San Marnan Drive, Waterloo, IA 50702
Authorised official
- Name
- Daniel Garza
- Title
- Managed Care Manager
- Phone
- (561) 275-2020
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1912626821
- Entity type
- Organization
- NPI issued
- 24 Aug 2022
- Record last updated
- 1 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.