Organization
VIRDI EYE CLINIC OF IOWA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVANEET S.C. BORISUTH M.D. (OWNER)
(563) 264-3414
Entity
Organization
Contact information
Practice address
315 PARHAM ST, SUITE A, MUSCATINE, IA 52761-2604
(563) 264-3414
(563) 264-3416
Mailing address
315 PARHAM ST, SUITE A, MUSCATINE, IA 52761-2604
(563) 264-3414
(563) 264-3416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270728
—
IA
Enumeration date
01/24/2006
Last updated
05/10/2010
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