Organization
CRESCO FAMILY OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALLEN LEEPER O.D. (DR./OWNER)
(563) 547-5363
Entity
Organization
Contact information
Practice address
213 N ELM ST, CRESCO, IA 52136-1521
(563) 547-5363
(563) 547-2621
Mailing address
213 N ELM ST, CRESCO, IA 52136-1521
(563) 547-5363
(563) 547-2621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01837
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476465
—
IA
Enumeration date
10/12/2007
Last updated
12/18/2013
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