Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ocularist |
156FX1700X |
| NPI Number | 1063447217 |
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| LBN Legal business name | IOWA EYE PROSTHETICS INC | ||||||||||||||||||||||||
| Authorized official | DAVID BULGARELLI - (PRESIDENT OCULARIST) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 07/12/2006 | ||||||||||||||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||||||||||||||
| Identifiers |
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