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4405 Hamilton Blvd, Sioux City, IA 51104-1140 | |
(712) 239-3937 | |
(712) 239-4946 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 4405 Hamilton Blvd, 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 |
---|---|---|---|
1164605192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Jason J Jones |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1922002872 PECOS PAC ID: 1557356227 Enrollment ID: I20040420001054 |
Provider Name | Yian J Jones |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689883464 PECOS PAC ID: 5991850307 Enrollment ID: I20090909000455 |
Provider Name | Christopher S Diehl |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053607515 PECOS PAC ID: 4284880659 Enrollment ID: I20120820000255 |
Mailing Address | Practice Location Address |
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4405 Hamilton Blvd, Sioux City, IA 51104-1140 Ph: (712) 239-3937 | 4405 Hamilton Blvd, Sioux City, IA 51104-1140 Ph: (712) 239-3937 |