Organization
VISTA VISION & CONTACT LENS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLETTE MARIE KUJAWA (MANAGER)
(218) 263-8956
Entity
Organization
Contact information
Practice address
2801 GRAND AVE STE 73, AMES, IA 50010-4652
(515) 233-5664
(515) 233-6272
Mailing address
2801 GRAND AVE STE 73, AMES, IA 50010-4652
(515) 233-5664
(515) 233-6272
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27332
AVESIS
IA
01
—
28245
SPECTERA
IA
Enumeration date
01/22/2007
Last updated
08/22/2020
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