Organization
RILEY F UGLUM, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RILEY F UGLUM OD (PRESIDENT)
(641) 394-2326
Entity
Organization
Contact information
Practice address
8 E SPRING ST, NEW HAMPTON, IA 50659-2132
(641) 394-2326
(641) 394-2211
Mailing address
PO BOX 470, NEW HAMPTON, IA 50659-0470
(641) 394-2326
(641) 394-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1631
IA
332B00000X
Durable Medical Equipment & Medical Supplies
1631
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005199
—
IA
01
—
18744
MIDLAND'S CHOICE
IA
01
—
P00470350
RAILROAD MEDICARE
—
Enumeration date
03/12/2008
Last updated
09/24/2009
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