Whalio Doctors

NPI 1124012869

Cara Vander Wilt, OD

Practitioner Optometrist Johnston, IA

Practice location

Address
5501 NW 86th St STE 500, Johnston, IA 50131-1815
Phone
(515) 270-0494
Fax
(515) 270-6463
Mailing address
110 S 19th CT, Indianola, IA 50125-4725

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 02289 (IA)

Registry record

NPI
1124012869
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Sep 2005
Record last updated
14 Aug 2023

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.