Organization
SPECSHOPPEINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD J GASPARD OPTICIAN (OWNER)
(712) 329-3450
Entity
Organization
Contact information
Practice address
301 W PIERCE ST, COUNCIL BLUFFS, IA 51503-9018
(712) 328-3450
(712) 323-7773
Mailing address
301 W PIERCE ST, COUNCIL BLUFFS, IA 51503-9018
(712) 328-3450
(712) 323-7773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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