Mark Leroy Bottelson, OD is a
Optometrist based in Windsor Heights, Iowa. Mark Leroy Bottelson is licensed to practice in Iowa (license number 01684) and his current practice location is
1001 73rd St, Vision Center, Windsor Heights, Iowa. He can be reached at his office (for appointments etc.) via phone at
(515) 274-6452.
NPI number for Mark Leroy Bottelson is 1689859704 and his current mailing address is 1001 73rd St, Vision Center, Windsor Heights, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689859704.
Healthcare Provider's Profile
| Full Name | Mark Leroy Bottelson |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 1001 73rd St, Windsor Heights, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689859704
- Provider Enumeration Date: 01/08/2008
- Last Update Date: 07/13/2009
Medical Identifiers
Medical identifiers for Mark Leroy Bottelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689859704 | NPI | - | NPPES |
| 238377 | Other | IA | COVENTRY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 01684 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Leroy Bottelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Leroy Bottelson, OD
1001 73rd St, Vision Center,
Windsor Heights, IA 50324-1311
Ph: (515) 274-6452 | Mark Leroy Bottelson, OD
1001 73rd St, Vision Center,
Windsor Heights, IA 50324-1311
Ph: (515) 274-6452 |
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