Organization
DR MARK M ZIMMER PC
Active
Parent organization
DR MARK M ZIMMER
Other names
Belle Plaine Family Eyecare
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR MARK M ZIMMER
Authorized official
DR. MARK MATTHEW ZIMMER II OD (PRESIDENT)
(319) 444-2126
Entity
Organization
Contact information
Practice address
216 2ND ST NE, INDEPENDENCE, IA 50644-1910
(319) 334-3631
Mailing address
216 2ND ST NE, INDEPENDENCE, IA 50644-1910
(319) 334-3631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01967
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078170
—
IA
01
—
43738
BCBS OF IOWA
IA
01
—
4686720003
DMERC
IA
Enumeration date
11/24/2006
Last updated
11/26/2007
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