| |
406 N Main St, Marcus, IA 51035-7719 | |
(712) 943-9400 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 406 N Main St, Marcus, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003320706 | NPI | - | NPPES |
73787 | Other | IA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Benjamin A Uhl |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437311792 PECOS PAC ID: 8426123647 Enrollment ID: I20080821000467 |
Provider Name | Tyler D Lefeber |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376071811 PECOS PAC ID: 9739457797 Enrollment ID: I20170615000468 |
Provider Name | Zachary Lancaster |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295263010 PECOS PAC ID: 5395014328 Enrollment ID: I20170707002047 |
Provider Name | Katelyn Kudrna |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871332973 PECOS PAC ID: 6305381310 Enrollment ID: I20240715002387 |
Mailing Address | Practice Location Address |
---|---|
105 Gaul Dr, Sergeant Bluff, IA 51054-8963 Ph: (712) 943-9400 | 406 N Main St, Marcus, IA 51035-7719 Ph: (712) 943-9400 |