Organization
VKL COMPANY
Active
Other names
Optica
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR MALINA (PRESIDENT)
(515) 226-0140
Entity
Organization
Contact information
Practice address
9998 SWANSON BLVD, CLIVE, IA 50325-6903
(515) 226-0140
(515) 334-0037
Mailing address
9998 SWANSON BLVD, CLIVE, IA 50325-6903
(515) 226-0140
(515) 334-0037
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068254
—
IA
Enumeration date
02/23/2007
Last updated
08/22/2020
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