Individual
DOUGLAS C SPYRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1705 DELHI ST, DUBUQUE, IA 52001-5934
(563) 588-4651
(563) 557-1073
Mailing address
1705 DELHI ST, DUBUQUE, IA 52001-5934
(563) 588-4651
(563) 557-1073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1760
IA
152WL0500X
Low Vision Rehabilitation Optometrist
1760
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185975
—
IA
Enumeration date
09/29/2005
Last updated
06/02/2008
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