Organization
FAMILY EYE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA JEAN GLEASON (BUSINESS MANAGER)
(515) 287-0820
Entity
Organization
Contact information
Practice address
6004 SW 9TH ST, DES MOINES, IA 50315-5011
(515) 287-0820
Mailing address
6004 SW 9TH ST, DES MOINES, IA 50315-5011
(515) 287-0820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805020
—
IA
Enumeration date
11/15/2019
Last updated
11/15/2019
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