| |
5500 Sergeant Road, Suite 200, Sioux City, IA 51106-4716 | |
(605) 217-4500 | |
(605) 217-4503 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 5500 Sergeant Road, Sioux City, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932626033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1840 (Iowa) | Secondary |
207W00000X | Ophthalmology | 28135 (Iowa) | Primary |
Mailing Address | Practice Location Address |
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Po Box 3566, Sioux City, IA 51102-3566 Ph: (605) 217-4500 | 5500 Sergeant Road, Suite 200, Sioux City, IA 51106-4716 Ph: (605) 217-4500 |