Organization
ROBERT R NEGRETE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R NEGRETE O.D. (OWNER)
(319) 461-0038
Entity
Organization
Contact information
Practice address
116 W MAIN ST, MARSHALLTOWN, IA 50158-5844
(641) 753-5042
(641) 753-5292
Mailing address
116 W MAIN ST, MARSHALLTOWN, IA 50158-5844
(641) 753-5042
(641) 753-5292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2015T
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4110973
—
IA
01
—
53102
DR NEGRETE BCBS #
IA
01
—
P00291954
DR NEGRETE RR MEDICARE #
IA
Enumeration date
09/20/2006
Last updated
12/20/2018
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