NPI 1043482656

Independent Optical Dispensary,inc.

Organisation Eyewear Supplier Clinton, IA

Practice location

Address: 106 S 4th St, Clinton, IA 52732-4425
Phone: (563) 243-1650

Authorised official

Name: Stanley E. Dierks
Title: Certified Optician
Phone: (563) 243-1650

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Iowa →

Registry record

NPI: 1043482656
Entity type: Organization
NPI issued: 24 Mar 2008
Record last updated: 17 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.