Organization
CENTRAL IOWA FAMILY EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE STALDER OD (OWNER)
(515) 386-2640
Entity
Organization
Contact information
Practice address
207 N CHESTNUT ST, JEFFERSON, IA 50129-1906
(515) 386-3513
Mailing address
PO BOX 228, JEFFERSON, IA 50129-0228
(515) 386-3513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02356
IA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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