Individual
DR. RON W ROELFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
124 2ND ST NE, WAVERLY, IA 50677
(319) 352-2020
(319) 352-0006
Mailing address
PO BOX 808, WAVERLY, IA 50677-0808
(319) 352-2020
(319) 352-0006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1721
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187591
—
IA
01
—
46987
BCBS
IA
Enumeration date
07/06/2006
Last updated
02/19/2008
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