Individual
DR. CASEY MATTHEW ROELFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
621 STORY ST, BOONE, IA 50036-2833
(515) 432-2973
Mailing address
621 STORY ST, BOONE, IA 50036-2833
(515) 432-2973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02185
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213785
—
IA
01
—
27547
BLUE CROSS/BLUE SHIELD
IA
01
—
410047848
RRM RAILROAD MEDICARE
—
01
—
4512050001
CIGNA/DMERC
—
Enumeration date
01/12/2006
Last updated
07/24/2008
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