Organization
WJC LTD
Active
Other names
Looking Glass Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCH JAMES THOMPSON (MANAGER OWNER)
(319) 338-9381
Entity
Organization
Contact information
Practice address
2056 8TH STREET, CORALVILLE, IA 52241-1502
(319) 338-9381
(319) 466-4662
Mailing address
2056 8TH STREET, CORALVILLE, IA 52241-1502
(319) 338-9381
(319) 466-4662
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42253
DAVIS VISION
IA
01
—
51671
BCBS OF IOWA
IA
Enumeration date
11/06/2006
Last updated
04/25/2008
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