Organization
ADEL VISION CLINIC
Active
Other names
Adel Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA ANNE CLARK (OFFICE MANAGER)
(515) 207-7400
Entity
Organization
Contact information
Practice address
813 MAIN ST, ADEL, IA 50003-1450
(515) 207-7400
Mailing address
813 MAIN ST, ADEL, IA 50003-1450
(515) 207-7400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01907
IOWA LICENSE
IA
Enumeration date
10/22/2018
Last updated
10/22/2018
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