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Organization

OPTOMETRIC CENTER OF CHARLES CITY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL HOWARD BURNHAM OD (PRESIDENT)
(641) 228-1732
Entity
Organization

Contact information

Practice address
800 CLARK ST, CHARLES CITY, IA 50616-2218
(641) 228-1732
(641) 228-2434
Mailing address
800 CLARK ST, CHARLES CITY, IA 50616-2218
(641) 228-1732
(641) 228-2434

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0458463
IA
Enumeration date
08/26/2005
Last updated
09/25/2015
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