Organization
ROBERT L. LIVINGSTON, O.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LIVINGSTON O.D.P.C. (DOCTOR)
(712) 336-8939
Entity
Organization
Contact information
Practice address
2600 HIGHWAY 9/71, SPIRIT LAKE, IA 51360-7257
(712) 336-8939
(712) 336-8952
Mailing address
PO BOX 317, SPIRIT LAKE, IA 51360-0317
(712) 336-8939
(712) 336-8952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01647
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932183720
NPI NUMBER
IA
05
—
205-179
—
IA
Enumeration date
03/09/2009
Last updated
03/09/2009
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