Organization
EYE STATE OPTOMETRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORI PHILLIPS (OPTOMETRIST/OWNER)
(515) 293-0708
Entity
Organization
Contact information
Practice address
3105 GRAND AVE, AMES, IA 50010-4604
(515) 441-8127
Mailing address
101 CYCLONE LN, MADRID, IA 50156-7610
(515) 293-0708
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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