| |
807 N Sumner Ave, Creston, IA 50801-1350 | |
(641) 782-2111 | |
(641) 782-2113 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 807 N Sumner Ave, Creston, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285759746 | 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 323, Creston, IA 50801-0323 Ph: (641) 782-2111 | 807 N Sumner Ave, Creston, IA 50801-1350 Ph: (641) 782-2111 |