Organization
FAMILY VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES FESER O.D. (OWNER)
(712) 225-6151
Entity
Organization
Contact information
Practice address
208 WEST BLUFF STREET, CHEROKEE, IA 51012
(712) 225-6151
(712) 225-2276
Mailing address
P.O. BOX 278, CHEROKEE, IA 51012
(712) 225-6151
(712) 225-2276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1730
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004119
—
IA
Enumeration date
05/08/2009
Last updated
05/08/2009
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