Organization
MADOPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DICKEY ABO, NCLE (OWNER)
(402) 639-3822
Entity
Organization
Contact information
Practice address
1441 MALL DR STE 400, COUNCIL BLUFFS, IA 51503-4728
(712) 256-5515
(712) 256-8093
Mailing address
1441 MALL DR STE 400, COUNCIL BLUFFS, IA 51503-4728
(712) 256-5515
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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