Organization
LOCK FAMILY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHARLES LOCK OD (OPTOMETRIST)
(515) 267-1312
Entity
Organization
Contact information
Practice address
101 JORDAN CREEK PKWY, SUITE 12190, WEST DES MOINES, IA 50266-8181
(515) 267-1312
Mailing address
101 JORDAN CREEK PKWY, SUITE 12190, WEST DES MOINES, IA 50266-8181
(515) 267-1312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02379
IA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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