| |
1800 Main St, Gowrie, IA 50543-0102 | |
(515) 352-3881 | |
(515) 352-3624 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1800 Main St, Gowrie, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689725582 | NPI | - | NPPES |
0258194 | Medicaid | IA | |
25817 | Other | IA | BCBS |
DA3271 | Other | IA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1862 (Iowa) | Primary |
Mailing Address | Practice Location Address |
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1800 Main St, Po Box 102, Gowrie, IA 50543-0102 Ph: (515) 352-3881 | 1800 Main St, Gowrie, IA 50543-0102 Ph: (515) 352-3881 |