Individual
TERI SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
2699 86TH ST, URBANDALE, IA 50322-4309
(515) 270-2490
Mailing address
1250 NW 128TH ST, STE 150, CLIVE, IA 50325-7433
(515) 223-9595
(515) 223-9792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002524
IA
Other
Enumeration date
07/19/2011
Last updated
07/19/2022
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