Organization
L.D PECK,PC
Active
Other names
Fort Madiosn Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAISHNA NOVAK (BILLING)
(319) 372-2321
Entity
Organization
Contact information
Practice address
716 AVENUE G, FORT MADISON, IA 52627
(319) 372-2321
(319) 372-2850
Mailing address
716 AVENUE G, FORT MADISON, IA 52627-2927
(319) 372-2321
(319) 372-2850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01719
IA
Other
Enumeration date
07/13/2018
Last updated
07/18/2018
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