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999 Home Plz, Suite 100, Waterloo, IA 50701-4822 | |
| (319) 236-0815 | |
| (319) 234-0847 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 999 Home Plz, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619937133 | NPI | - | NPPES |
| 410026798 | Other | IA | MEDICARE ID |
| 410023574 | Other | IA | MEDICARE ID |
| 410027324 | Other | IA | MEDICARE ID |
| 410028812 | Other | IA | MEDICARE ID |
| CG4244 | Other | IA | MEDICARE ID |
| 0117267 | Medicaid | IA | |
| 18418 | Other | IA | WELLMARK BLUE CROSS BLUE |
| 410030429 | Other | IA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Iowa) | Primary |
| Provider Name | David C Neill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023169786 PECOS PAC ID: 4789577594 Enrollment ID: I20040402001473 |
| Provider Name | Phillip N Fitch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851619811 PECOS PAC ID: 5496887028 Enrollment ID: I20100719000090 |
| Provider Name | Jerry Stahl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942309893 PECOS PAC ID: 3577456383 Enrollment ID: I20100924000089 |
| Provider Name | Paul Thomas Creeden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033260997 PECOS PAC ID: 7214820026 Enrollment ID: I20100924000106 |
| Provider Name | Shawna R Harvey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548757586 PECOS PAC ID: 3678838042 Enrollment ID: I20180606000641 |
| Provider Name | Dalila Husidic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982388179 PECOS PAC ID: 7315391455 Enrollment ID: I20230923000574 |
| Mailing Address | Practice Location Address |
|---|---|
309 E Church St, Marshalltown, IA 50158-2919 Ph: (641) 754-6200 | 999 Home Plz, Suite 100, Waterloo, IA 50701-4822 Ph: (319) 236-0815 |
Matthew Krewer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 909 E San Marnan Dr, Waterloo, IA 50702 Phone: 319-233-2020 | |
Dr. Staci Anne Boon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 909 E San Marnan Dr, Waterloo, IA 50702 Phone: 319-233-2020 Fax: 319-234-1939 | |
Michael John Coons, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 909 E San Marnan Drive, Waterloo, IA 50702 Phone: 319-234-2616 Fax: 319-234-1939 | |
Augustin Eye Care, Plc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2027 Crossroads Blvd, Waterloo, IA 50702 Phone: 319-505-2142 | |
Emily Halbur, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2018 Sears St, Waterloo, IA 50702 Phone: 319-215-3413 |