Organization
PENELOPE A HAEKER OD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE A HAEKER OD (MGR)
(712) 224-4600
Entity
Organization
Contact information
Practice address
5001 SERGEANT RD, SUITE 45, SIOUX CITY, IA 51106-4775
(712) 224-4600
(712) 276-3716
Mailing address
5001 SERGEANT RD, SUITE 45, SIOUX CITY, IA 51106-4775
(712) 224-4600
(712) 276-3716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02247
IA
Other
Enumeration date
08/10/2005
Last updated
11/01/2007
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