Organization
CENTRAL VISION CENTER OF OSKALOOSA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA SHOUP O.D. (OWNER)
(641) 673-7708
Entity
Organization
Contact information
Practice address
119 1ST AVE W, OSKALOOSA, IA 52577-3243
(641) 673-7708
(641) 673-0979
Mailing address
119 1ST AVE W, OSKALOOSA, IA 52577-3243
(641) 673-7708
(641) 673-0979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187500
—
IA
Enumeration date
05/22/2006
Last updated
03/01/2010
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