Organization
VISTA VISION &CONTACT LENS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE M KUJAWA (MANAGER)
(515) 233-5664
Entity
Organization
Contact information
Practice address
2801 GRAND AVE STE 1025, AMES, IA 50010-4668
(515) 233-5664
(515) 233-6272
Mailing address
2801 GRAND AVE, AMES, IA 50010-4668
(515) 233-5664
(515) 233-6272
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27332
AVESIS
IA
01
—
28245
SPECTERA
IA
Enumeration date
03/21/2007
Last updated
08/22/2020
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