Organization
THE OPTICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHOSSOW ABOC (OPTICIAN)
(641) 753-5042
Entity
Organization
Contact information
Practice address
116 W MAIN ST, MARSHALLTOWN, IA 50158-5844
(641) 753-5042
(641) 753-5292
Mailing address
116 W MAIN ST, MARSHALLTOWN, IA 50158-5844
(641) 753-5042
(641) 753-5292
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229401
—
IA
01
—
22889
WELLMARK BLUE CROSS & BLU
IA
01
—
32820
AVESIS
IA
Enumeration date
12/29/2006
Last updated
08/21/2009
Update your record
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