| |
317 N 2nd St, Wapello, IA 52653-1203 | |
(319) 523-2020 | |
(319) 523-5230 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 317 N 2nd St, Wapello, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184692188 | NPI | - | NPPES |
0221697 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Iowa) | Primary |
Mailing Address | Practice Location Address |
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317 N 2nd St, Wapello, IA 52653-1203 Ph: (319) 523-2020 | 317 N 2nd St, Wapello, IA 52653-1203 Ph: (319) 523-2020 |