Individual
DEREK PAUL VOGELPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 AVENUE H STE 2, FORT MADISON, IA 52627-4559
(319) 316-6016
(319) 669-8335
Mailing address
1001 AVENUE H STE 2, FORT MADISON, IA 52627-4559
(319) 316-6016
(319) 669-8335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002587
IA
152W00000X
Optometrist
046010660
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073951612
—
IA
Enumeration date
06/05/2013
Last updated
01/13/2021
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