Organization
JEFFREY S FOREMAN OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SCOTT FOREMAN OD (OPTOMETRIST)
(515) 955-7777
Entity
Organization
Contact information
Practice address
1511 1ST AVE S, FORT DODGE, IA 50501
(515) 955-7777
(515) 955-7082
Mailing address
1511 1ST AVE S, FORT DODGE, IA 50501
(515) 955-7777
(515) 955-7082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1739
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196600
—
IA
01
—
19661
BLUE CROSS
—
01
—
410035679
RAILROAD MEDICARE
—
Enumeration date
09/10/2007
Last updated
11/10/2011
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