Individual
SHEILA M FETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2600 EDGEWOOD RD SW, SUITE 376, CEDAR RAPIDS, IA 52404-7818
(319) 390-4144
(319) 390-4674
Mailing address
1433 DEER WOODS DR NE, SWISHER, IA 52338-9436
(319) 841-5030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA2049
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202664232
COMMERCIAL
IA
01
—
45822
BLUE CROSS BLUE SHIELD
IA
Enumeration date
09/30/2005
Last updated
09/17/2012
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