Organization
EYE CARE CENTER OF WAVERLY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY HOWARD VAN DAALEN O.D. (OPTOMETRIST)
(310) 559-2020
Entity
Organization
Contact information
Practice address
108 2ND ST NW, WAVERLY, IA 50677-2619
(319) 559-2020
(319) 559-2021
Mailing address
108 2ND ST NW, WAVERLY, IA 50677-2619
(319) 559-2020
(319) 559-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1865
IA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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