Organization
EMMETSBURG EYE CLINIC
Active
Other names
Emmetsburg Eye Clinic, Humboldt Eye Clinic, Algona Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL JOSEPH REEDY JR. (MANAGER)
(712) 852-2979
Entity
Organization
Contact information
Practice address
2217 MAIN ST # 329, EMMETSBURG, IA 50536-2446
(319) 230-9110
(712) 852-2024
Mailing address
2217 MAIN ST # 329, EMMETSBURG, IA 50536-2446
(319) 230-9110
(712) 852-2024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01629
LICENSE NUMBER
IA
Enumeration date
12/09/2019
Last updated
11/19/2020
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