Individual
DR. MONIQUE P ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5901 WESTOWN PKWY, SUITE 200, W DES MOINES, IA 50266-8218
(515) 225-3546
(515) 224-5946
Mailing address
5901 WESTOWN PKWY, SUITE 200, W DES MOINES, IA 50266-8218
(515) 225-3546
(515) 224-5946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02237
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425868
—
IA
01
—
35721
BLUE CROSS BLUE SHIELD
IA
01
—
P00114822
MEDICARE RAILROAD
IA
Enumeration date
07/15/2005
Last updated
04/26/2016
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