Whalio Doctors

NPI 1003096629

Samuel P Whitmore, OD

Practitioner Optometrist Urbandale, IA

Practice location

Address
3735 86th St, Urbandale, IA 50322-4008
Phone
(515) 270-8545
Fax
(515) 270-0548
Mailing address
3725 Ingersoll Ave, Des Moines, IA 50312-3410

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 002398 (IA)

Registry record

NPI
1003096629
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Nov 2007
Record last updated
16 Sep 2013

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.