MRS. DELORES JEAN TYE OPTICIAN NPI 1417037219

NPI Information

NPI: 1417037219
Provider Name: MRS. DELORES JEAN TYE, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
2600 W BROADWAY
COUNCIL BLUFFS, IA
ZIP 51501
Phone: (712) 322-3097
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MRS. Delores Jean Tye, OPTICIAN is an optician technician technologist in Council Bluffs, IA. MRS. Delores Jean Tye, OPTICIAN NPI is 1417037219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 W BROADWAY
COUNCIL BLUFFS, IA
ZIP 51501-512
Phone: (712) 322-3097
Fax: (712) 322-4130

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0797760001	MEDICARE ID-TYPE UNSPECIFIED	IOWA

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: 11/14/2023

NPI Synchronization or Removal

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