| |
1160 3rd St, Lake View, IA 51450-0080 | |
(712) 657-3304 | |
(712) 657-3303 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1160 3rd St, Lake View, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427103902 | NPI | - | NPPES |
25818 | Other | BCBS | |
0258194 | Medicaid | IA | |
DA3270 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 02262 (Iowa) | Primary |
Mailing Address | Practice Location Address |
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Po Box 80, 1160 3rd St, Lake View, IA 51450-0080 Ph: (712) 657-3304 | 1160 3rd St, Lake View, IA 51450-0080 Ph: (712) 657-3304 |