Organization
MIDWEST OPTOMETRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL THOMAS AHERN OD (PRESIDENT)
(563) 875-8123
Entity
Organization
Contact information
Practice address
420 1ST AVE E, DYERSVILLE, IA 52040-1326
(563) 875-8123
(563) 875-7874
Mailing address
420 1ST AVE E, PO BOX 160, DYERSVILLE, IA 52040-1326
(563) 875-8123
(563) 875-7874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1609
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144170
—
IA
Enumeration date
01/31/2006
Last updated
11/12/2007
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