Organization
ACTON OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY D BETSWORTH (OPTICIAN-CERTIFIED)
(319) 233-5246
Entity
Organization
Contact information
Practice address
3628 KIMBALL AVE, WATERLOO, IA 50702-5731
(319) 233-5246
(319) 833-8197
Mailing address
3628 KIMBALL AVE, WATERLOO, IA 50702-5731
(319) 233-5246
(319) 833-8197
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149138
—
IA
Enumeration date
08/04/2006
Last updated
04/12/2010
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