Individual
RILEY F UGLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8 E SPRING ST, NEW HAMPTON, IA 50659-2132
(641) 394-2326
(641) 394-2211
Mailing address
PO BOX 470, NEW HAMPTON, IA 50659-0470
(641) 394-2326
(641) 394-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1631
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005199
—
IA
01
—
18744
MIDLANDS CHOICE
—
Enumeration date
07/30/2006
Last updated
05/17/2022
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