Individual
DR. JASON PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2056 8TH ST, CORALVILLE, IA 52241-1502
(319) 338-9381
(319) 466-4662
Mailing address
2056 8TH ST, CORALVILLE, IA 52241-1502
(319) 338-9381
(319) 466-4662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2306
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450890
—
IA
01
—
37525
BC/BS
IA
01
—
42253
DAVIS VISION
IA
Enumeration date
08/09/2006
Last updated
07/08/2007
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