| NPI | 1902093156 |
|---|---|
| Doing Business As | FORT MADISON EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LARRY DON PECK Owner/Physician 319-372-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01719) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |