| |
801 Buck St, Tiffin, IA 52340-9446 | |
(319) 545-2252 | |
(319) 545-2436 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 801 Buck St, Tiffin, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699230581 | NPI | - | NPPES |
3204843 | Medicaid | IA | |
2700065 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 70, Washington, IA 52353-0070 Ph: (319) 653-4558 | 801 Buck St, Tiffin, IA 52340-9446 Ph: (319) 545-2252 |
Samantha Joann Harris, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 801 Buck St, Tiffin, IA 52340 Phone: 319-545-2252 |