Individual
DR. PEGGY SUE DRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
318 N MAIN AVE, SIOUX CENTER, IA 51250-1852
(712) 722-2051
(712) 722-4531
Mailing address
PO BOX 20, SIOUX CENTER, IA 51250-0020
(712) 722-2051
(712) 722-4531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2032
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121533
—
IA
01
—
2032
IA LICENSE
IA
01
—
44795
BC/BS
IA
05
—
9200560
—
SD
01
—
CG1306
RAILROAD MEDICARE
IA
Enumeration date
06/09/2005
Last updated
03/07/2023
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