Individual
RAMONA D MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
208 WEST ST, GRINNELL, IA 50112-2014
(641) 236-4002
(641) 236-8687
Mailing address
PO BOX 420, GRINNELL, IA 50112-0420
(641) 236-4002
(641) 236-8687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02012
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102269
—
IA
01
—
232577
MIDLANDS CHOICE
IA
01
—
51707
WELLMARK BC/BS
IA
01
—
73375
COVENTRY
IA
Enumeration date
11/16/2005
Last updated
02/08/2016
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