Individual
DAVID SCOTT SYBESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
1408 43RD STREET, MAQUOKETA, IA 52060
(563) 652-2795
(563) 652-5210
Mailing address
1408 43RD STREET, MAQUOKETA, IA 52060
(563) 652-2795
(563) 652-5210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1996
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106880
—
IA
01
—
14965
WELLMARK BCBS
IA
01
—
410024770
RAILROAD MEDICARE
—
01
—
5380340001
CIGNA DME REGION D
—
Enumeration date
03/30/2006
Last updated
12/13/2014
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