Individual
DR. RACHEL V MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
208 8TH AVE SE, OELWEIN, IA 50662-2448
(319) 283-3628
(319) 283-5638
Mailing address
208 8TH AVE SE, OELWEIN, IA 50662-2448
(319) 283-3628
(319) 283-5638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2165
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262402
—
IA
01
—
20049273201
JOHN DEERE HEALTH CHOICE
IA
01
—
47097
WELLMARK BC/BS
IA
01
—
50095
DAVIS VISION
IA
Enumeration date
01/28/2006
Last updated
04/16/2008
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