Organization
JONI'S OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JONI R. EBY (CERTIFIED OPTICIAN)
(319) 465-3116
Entity
Organization
Contact information
Practice address
615 S MAIN ST, SUITE B, MONTICELLO, IA 52310-1747
(319) 465-3116
(319) 465-3116
Mailing address
615 S.MAIN ST., SUITE B, MONTICELLO, IA 52310-1747
(319) 465-3116
(319) 465-3116
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
153007669
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JEOPTICAL
—
IA
Enumeration date
05/15/2012
Last updated
05/15/2012
Update your record
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