Organization
TIMBERLINE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENESSA LOCK OD (OWNER OPTOMETRIST)
(515) 339-1836
Entity
Organization
Contact information
Practice address
14111 DOUGLAS PARKWAY, URBANDALE, IA 50323
(515) 339-1836
Mailing address
350 NW 67TH PL, DES MOINES, IA 50313-1023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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