Organization
JANSEN OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R JANSEN (OPTICIAN)
(319) 824-3718
Entity
Organization
Contact information
Practice address
613 G AVE, GRUNDY CENTER, IA 50638-1549
(319) 824-3718
Mailing address
613 G AVE, GRUNDY CENTER, IA 50638-1549
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
IA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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