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Organization

OPTOMETRIC ASSOCIATES OF CEDAR RAPIDS,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT M LIVIN O.D. (PRESIDENT)
(319) 365-8621
Entity
Organization

Contact information

Practice address
860 2ND AVE SE, STE. B, CEDAR RAPIDS, IA 52403-2460
(319) 365-8621
(319) 365-9500
Mailing address
860 2ND AVE SE, STE. B, CEDAR RAPIDS, IA 52403-2460
(319) 365-8621
(319) 365-9500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1460
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0075796
IA
01
07579
BLUE CROSS,BLUE SHIELD
IA
Enumeration date
11/15/2006
Last updated
01/16/2008
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