Organization
EYESITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL V MORTENSON O.D. (PARTNER)
(563) 875-2344
Entity
Organization
Contact information
Practice address
1314 9TH ST SE, DYERSVILLE, IA 52040-2333
(563) 875-2344
(563) 875-2344
Mailing address
1314 9TH ST SE, DYERSVILLE, IA 52040-2333
(563) 875-2344
(563) 875-2344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02165
IA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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