Individual
DR. MATTHEW J POLLASTRINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
105 20TH ST NW, WAVERLY, IA 50677-2059
(319) 352-4516
(319) 352-0291
Mailing address
1215 AMELIA DR APT 4, CEDAR FALLS, IA 50613-7982
(319) 240-4173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2017
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811929805
WELLMARK
IA
Enumeration date
07/07/2006
Last updated
11/23/2010
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