| NPI | 1992281984 |
|---|---|
| Doing Business As | FORT MADIOSN EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAISHNA NOVAK Billing 319-372-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01719) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-18 |