Organization
BLAKE FRANZEEN O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE BRANDON FRANZEEN O.D. (OWNER)
(515) 986-9351
Entity
Organization
Contact information
Practice address
2150 E 1ST ST, GRIMES, IA 50111-7606
(515) 986-9351
(515) 986-9476
Mailing address
2150 E 1ST ST, GRIMES, IA 50111-7606
(515) 986-9351
(515) 986-9476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2224
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043280977
—
IA
Enumeration date
09/24/2010
Last updated
09/24/2010
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