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DUBUQUE OPTOMETRIC P.C. NPI 1376661777


NPI Information

NPI: 1376661777
Provider Name: DUBUQUE OPTOMETRIC, P.C.
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 16D1002368

Address:
3343 CENTER GROVE DR
DUBUQUE, IA
ZIP 52003
Phone: (563) 588-2093
Get Directions

DUBUQUE OPTOMETRIC, P.C. is an optometrist in Dubuque, IA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DUBUQUE OPTOMETRIC, P.C. NPI is 1376661777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3343 CENTER GROVE DR
DUBUQUE, IA
ZIP 52003-264
Phone: (563) 588-2093
Fax: (563) 588-0590

The provider's authorized official is Lynn M Lester-howland .
The authorized official title is Owner/operator and has the following contact phone number (563) 588-2093.

The CLIA number assigned to this NPI record is 16D1002368 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 5/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107574MEDICARE UPINIOWA
20084616MEDICAIDIOWA
30413960001MEDICARE NSCIOWA
407574OTHERIOWAWELLMARK BLUE CROSS BLUE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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