Organization
GRINNELL EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA D MITCHELL O.D. (VICE PRESIDENT)
(641) 236-4002
Entity
Organization
Contact information
Practice address
208 WEST ST, GRINNELL, IA 50112-2014
(641) 236-4002
(641) 236-8687
Mailing address
PO BOX 420, GRINNELL, IA 50112-0420
(641) 236-4002
(641) 236-8687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0796748
—
IA
Enumeration date
11/16/2005
Last updated
04/20/2008
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