Individual
ERIC O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
324 W AGENCY RD, WEST BURLINGTON, IA 52655-1674
(319) 753-3115
Mailing address
324 W AGENCY RD, WEST BURLINGTON, IA 52655-1674
(319) 753-3115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002520
IA
152W00000X
Optometrist
046010504
IL
Other
Enumeration date
07/04/2011
Last updated
08/05/2019
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