|
| |
|
1952 Plymouth Ave, Waterloo, IA 50702-3524 | |
| (319) 236-9600 | |
| (319) 236-0605 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1952 Plymouth Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841538733 | NPI | - | NPPES |
| 0161679IA | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 01681 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
1952 Plymouth Ave, Waterloo, IA 50702-3524 Ph: (319) 236-9600 | 1952 Plymouth Ave, Waterloo, IA 50702-3524 Ph: (319) 236-9600 |
Matthew Krewer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 909 E San Marnan Dr, Waterloo, IA 50702 Phone: 319-233-2020 | |
Dr. Staci Anne Boon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 909 E San Marnan Dr, Waterloo, IA 50702 Phone: 319-233-2020 Fax: 319-234-1939 | |
Michael John Coons, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 909 E San Marnan Drive, Waterloo, IA 50702 Phone: 319-234-2616 Fax: 319-234-1939 | |
Augustin Eye Care, Plc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2027 Crossroads Blvd, Waterloo, IA 50702 Phone: 319-505-2142 | |
Emily Halbur, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2018 Sears St, Waterloo, IA 50702 Phone: 319-215-3413 |