Organization
DR. J. BRENT ALTFILLISCH, O.D. P.C.
Active
Other names
Optical Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRENT ALTFILLISCH O.D. (OPTOMETRIST)
(641) 684-5463
Entity
Organization
Contact information
Practice address
224 E MAIN ST, OTTUMWA, IA 52501-2916
(641) 684-5463
(641) 684-5475
Mailing address
224 E MAIN ST, PO BOX 994, OTTUMWA, IA 52501-2916
(641) 684-5463
(641) 684-5475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1537
IA
Other
Enumeration date
10/03/2005
Last updated
08/13/2008
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