Organization
THAYER EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER THAYER OD (OWNER)
(515) 451-4241
Entity
Organization
Contact information
Practice address
2135 SE DELAWARE AVE, ANKENY, IA 50021-4592
(515) 964-0444
Mailing address
2912 35TH ST, DES MOINES, IA 50310-4003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568774099
INDIVIDUAL NPI
IA
Enumeration date
01/14/2022
Last updated
01/14/2022
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