Organization
DR MARK M ZIMMER PC
Active
Other names
Oelwein Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MATTHEW ZIMMER OD (PRESIDENT)
(319) 283-3155
Entity
Organization
Contact information
Practice address
12 1ST AVE NE, OELWEIN, IA 50662-1737
(319) 283-3155
(319) 283-3155
Mailing address
12 1ST AVE NE, OELWEIN, IA 50662-1737
(319) 283-3155
(319) 283-3155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01967
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419432
—
IA
01
—
08106
BLUE CROSS BLUE SHIELD
IA
05
—
4078170
—
IA
Enumeration date
09/28/2006
Last updated
01/22/2008
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