Individual
ROBERT GERARD SKELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
204 N ARCADE ST, MAQUOKETA, IA 52060-2022
(563) 652-5603
(563) 323-0949
Mailing address
PO BOX 670, MAQUOKETA, IA 52060-0670
(563) 652-5603
(563) 323-0949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1672
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156133
—
IA
01
—
21524
BCBS OF IOWA
IA
05
—
2156133
—
IA
01
—
37836
BCBS OF IOWA
IA
Enumeration date
01/19/2006
Last updated
06/25/2008
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