Individual
DR. LINCOLN MATTHEW GEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3600 30TH ST, EYE CLINIC, DES MOINES, IA 50310-5753
(515) 699-5815
(515) 699-5906
Mailing address
1008 SE CHAPARAL DR, ANKENY, IA 50021-3968
(515) 699-5815
(515) 699-5906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1923
IA
152W00000X
Optometrist
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099796
—
IA
Enumeration date
07/27/2006
Last updated
07/08/2007
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