NPI 1548483639

Russ Uptown Optical INC

Organisation Optician Des Moines, IA

Practice location

Address: 4122 University Ave, Des Moines, IA 50311-3533
Phone: (515) 279-3189
Fax: (515) 279-3956

Authorised official

Name: Douglas Phillip Mentzer
Title: President
Phone: (515) 279-3189

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Iowa →

Registry record

NPI: 1548483639
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 28 Dec 2012

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.