Hawkeye Exact, Llc | |
1801 4th St, Sioux City, IA 51101-2118 | |
(712) 252-1519 | |
Not Available |
Full Name | Hawkeye Exact, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1801 4th St, Sioux City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447896782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Clarence Joseph Vanderlei |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811347685 PECOS PAC ID: 1658664065 Enrollment ID: I20190515000222 |
Mailing Address | Practice Location Address |
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Hawkeye Exact, Llc 305 Dakota Dunes Blvd, Dakota Dunes, SD 57049-5176 Ph: (605) 232-6900 | Hawkeye Exact, Llc 1801 4th St, Sioux City, IA 51101-2118 Ph: (712) 252-1519 |
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