Individual
REBECCA L PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
425 SO 2ND ST, MIDWEST VISION CLINIC PLC, CLINTON, IA 52732
(563) 242-0223
(563) 242-6864
Mailing address
425 SO 2ND ST, CLINTON, IA 52732
(563) 242-0223
(563) 242-6864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01960
IA
152W00000X
Optometrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078253
—
IA
01
—
48078
BCBS
IA
Enumeration date
07/12/2006
Last updated
10/18/2007
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