Individual
DR. BRANDON STEVEN HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1428 2ND AVE N, FORT DODGE, IA 50501-4119
(515) 573-1145
(515) 573-1028
Mailing address
1428 2ND AVE N, FORT DODGE, IA 50501-4119
(515) 573-1145
(515) 573-1028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
078302
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000389
—
IA
01
—
D02825
RAILROAD MEDICARE
IA
Enumeration date
06/03/2015
Last updated
10/20/2015
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