Individual
DR. ANDREW E SASSAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1830 STATE HIGHWAY 9, DECORAH, IA 52101-7301
(563) 382-2639
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02177
IA
152W00000X
Optometrist
3132
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195255
—
IA
05
—
0212225
—
IA
01
—
19525
GROUP BCBS
IA
01
—
22032
BCBS
IA
Enumeration date
04/19/2006
Last updated
04/24/2015
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