Organization
ASSOCIATED OPHTHALMOLOGISTS, PC
Active
Other names
Family Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES VERSACKAS M.D. (PRESIDENT)
(515) 243-1580
Entity
Organization
Contact information
Practice address
1212 PLEASANT ST, STE 202, DES MOINES, IA 50309-1414
(515) 288-8828
(515) 288-4888
Mailing address
1212 PLEASANT ST, STE 202, DES MOINES, IA 50309-1414
(515) 288-8828
(515) 288-4888
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041798
—
IA
Enumeration date
05/04/2006
Last updated
04/20/2008
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