Organization
INSIGHT VISION
Active
Parent organization
INSIGHT VISION
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSIGHT VISION
Authorized official
DR. ETHAN EVERETT HUISMAN OD (OPTOMETRIST)
(515) 221-9195
Entity
Organization
Contact information
Practice address
12871 UNIVERSITY AVE, SUITE 140, CLIVE, IA 50325
(515) 221-9195
(515) 221-9196
Mailing address
12871 UNIVERSITY AVE, SUITE 140, CLIVE, IA 50325
(515) 221-9195
(515) 221-9196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2216
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266767
—
IA
Enumeration date
02/20/2008
Last updated
02/20/2008
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