Individual
THOMAS R MUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
202 N 6TH ST, SAC CITY, IA 50583-1742
(712) 662-7777
(712) 662-7311
Mailing address
202 S 6TH ST, PO BOX 517, SAC CITY, IA 50583-2242
(712) 662-7777
(712) 662-7311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02230
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410048396
RAILROAD MEDICARE
IA
Enumeration date
08/17/2005
Last updated
05/12/2015
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