Organization
BOONE VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CRAIG ANDERSON OD (OWNER OPTOMETRIST)
(515) 432-2973
Entity
Organization
Contact information
Practice address
621 STORY ST, BOONE, IA 50036-2833
(515) 432-2973
(515) 432-1811
Mailing address
621 STORY ST, BOONE, IA 50036-2833
(515) 432-2973
(515) 432-1811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1854
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480863
—
IA
01
—
CJ8678
RRM RAILROAD MEDICARE
—
Enumeration date
11/11/2005
Last updated
07/24/2008
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