Individual
DR. JOSEPH CHARLES URBAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3625 UTICA RIDGE RD, BETTENDORF, IA 52722-1646
(563) 355-4716
(563) 355-5034
Mailing address
3625 UTICA RIDGE RD, BETTENDORF, IA 52722-1646
(563) 355-4716
(563) 355-5034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1999
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089482
—
IA
01
—
2864030001
DMERC
IA
01
—
UR702901
CLARITY
IA
Enumeration date
07/21/2006
Last updated
07/08/2007
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