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Organization

EYEPLAN, INC.

Active
Other names
Des Moines Office
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RALPH J DEHAAN O.D. (PRESIDENT)
(641) 628-9225
Entity
Organization

Contact information

Practice address
3945 MERLE HAY RD, DES MOINES, IA 50310-1309
(515) 276-2288
(515) 276-2567
Mailing address
823 FRANKLIN ST, PELLA, IA 50219-1603
(641) 628-9225
(641) 628-8698

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1682
IA
152W00000X
Optometrist
1831
IA
152W00000X
Optometrist
1975
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083692214
IA
05
1750369971
IA
05
1790763811
IA
Enumeration date
02/18/2009
Last updated
02/18/2009
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