Organization
DAVID S SYBESMA, OD, PC
Active
Other names
sybesma eye and vision center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SCOTT SYBESMA O.D. (OWNER)
(563) 652-2795
Entity
Organization
Contact information
Practice address
1408 43RD STREET, MAQUOKETA, IA 52060-3056
(563) 652-2795
(563) 652-5210
Mailing address
1408 43RD STREET, MAQUOKETA, IA 52060-3056
(563) 652-2795
(563) 652-5210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1996
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106880
—
IA
01
—
1255392122
NPI
IA
01
—
14965
BCBS OF IOWA
IA
Enumeration date
04/12/2007
Last updated
10/07/2008
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