Organization
CARROLL EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE W OSTRANDER OD (VP)
(712) 792-3318
Entity
Organization
Contact information
Practice address
1236 HEIRES AVE, CARROLL, IA 51401-3328
(712) 792-3318
(712) 792-3319
Mailing address
PO BOX 669, CARROLL, IA 51401-0669
(712) 792-3318
(712) 792-3319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0792283
—
IA
Enumeration date
11/09/2005
Last updated
10/14/2011
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