Organization
FAMILY EYECARE OF WINTERSET PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILLIAM JOHLL O.D. (OPTOMETRIST)
(515) 462-1254
Entity
Organization
Contact information
Practice address
102 N 1ST AVE, WINTERSET, IA 50273-1551
(515) 462-1254
(515) 462-2895
Mailing address
102 N 1ST AVE, WINTERSET, IA 50273-1551
(515) 462-1254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01925
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400155
—
IA
Enumeration date
01/05/2007
Last updated
07/27/2010
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