| NPI | 1063651859 |
|---|---|
| Other Name | DES MOINES OFFICE |
| Entity Type | Organization |
| Authorized Contact | RALPH J DEHAAN President 641-628-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 1682) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 1831) |
| 152W00000X Optometrist (Licence: IA 1975) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |