Drs. Spronk, Vander Griend & Radke | |
116 E Broadway, Paullina, IA 51046-0450 | |
(712) 448-2195 | |
(712) 448-2196 |
Full Name | Drs. Spronk, Vander Griend & Radke |
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Type | Facility |
Speciality | Optometrist |
Location | 116 E Broadway, Paullina, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427029388 | NPI | - | NPPES |
33340 | Other | IA | WELLMARK GROUP ID |
0280578 | Medicaid | IA | |
CE1831 | Other | IA | RR MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jonathan L Toso |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154381770 PECOS PAC ID: 0648235952 Enrollment ID: I20050422000461 |
Provider Name | Harlan J Vander Griend |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811964794 PECOS PAC ID: 6002800224 Enrollment ID: I20100825000566 |
Provider Name | Matthew L Radke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306819560 PECOS PAC ID: 0648264861 Enrollment ID: I20100825000631 |
Provider Name | Delmar E Spronk |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619948528 PECOS PAC ID: 3779575329 Enrollment ID: I20100825000641 |
Provider Name | Matthiew K Hoogland |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275996795 PECOS PAC ID: 0244501369 Enrollment ID: I20180815002233 |
Mailing Address | Practice Location Address |
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Drs. Spronk, Vander Griend & Radke 116 E Broadway, Po Box 450, Paullina, IA 51046-0450 Ph: (712) 448-2195 | Drs. Spronk, Vander Griend & Radke 116 E Broadway, Paullina, IA 51046-0450 Ph: (712) 448-2195 |