| |
4 W 5th St, Atlantic, IA 50022-1244 | |
(712) 243-1965 | |
(712) 243-1966 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 4 W 5th St, Atlantic, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023133659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 249, Atlantic, IA 50022-0249 Ph: (712) 243-1965 | 4 W 5th St, Atlantic, IA 50022-1244 Ph: (712) 243-1965 |