Woodland Eye Clinic, Pc

NPI 1053741983 - Optometrist - 152W00000X

NPI Details
NPI 1053741983
Enumeration Date 11/13/2013
Last Updated 11/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOSHUA AARON JOSHUA
Position PRESIDENT
Phone (563) 581-0923
Fax
Practice Location
1129 11TH ST SE
SUITE B
DYERSVILLE IA, 52040-2418, US
Phone (563) 581-0923
Fax
Business Location
320 E UNION ST
MANCHESTER IA, 52057-1429, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 2461
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According to our database, Woodland Eye Clinic, Pc NPI is 1053741983, taxonomy code is 152W00000X and license number is 2461, license state is located at Iowa. Woodland Eye Clinic, Pc physically located at 1129 11th St Se, Dyersville IA, 52040-2418. NPI Number 1033115704 has the healthcare provider type.

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1053741983 NPI number is provided on an as is basis without warranty of any kind. 1053741983 is maintained by the National Plan & Provider Enumeration System. The contents of Woodland Eye Clinic, Pc are for informational purposes only.