Organization
INDIANHEAD INVESTMENTS, LLC
Active
Other names
Three Rivers Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ANTHONY GIDEL O.D. (OWNER)
(515) 520-3952
Entity
Organization
Contact information
Practice address
10 TAFT ST S, HUMBOLDT, IA 50548-2037
(515) 332-2950
Mailing address
62859 SUNSET DR, NEVADA, IA 50201-7984
(515) 520-3952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
078300
IA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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