Organization
DR OSCAR CORREDOR & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR H CORREDOR OD (MEMBER/OWNER)
(515) 963-4404
Entity
Organization
Contact information
Practice address
2409 SE DELAWARE AVE, STE 104, ANKENY, IA 50021-4470
(515) 963-4404
(515) 963-4406
Mailing address
2409 SE DELAWARE AVE, STE 104, ANKENY, IA 50021-4470
(515) 963-4404
(515) 963-4406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002444
IA
152W00000X
Optometrist
2003027013
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275634800
NPI TYPE 1
—
Enumeration date
04/22/2009
Last updated
05/05/2009
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