Individual
DR. JEFFREY MICHAEL GOERGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-7540
(712) 243-7544
Mailing address
8 RIDGE RD, ATLANTIC, IA 50022-2645
(712) 243-2190
(712) 243-7540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02112
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194811
—
IA
05
—
1175695
—
IA
Enumeration date
02/21/2006
Last updated
07/09/2007
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