NPI 1124283767

Lisa G Domino, OD

Practitioner Optometrist Ankeny, IA

Practice location

Address: 2510 SW White Birch Dr STE 5, Ankeny, IA 50023-7171
Phone: (515) 450-1339
Fax: (515) 964-3277

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 002438 (IA)

Other Optometrist providers in Iowa →

Registry record

NPI: 1124283767
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2008
Record last updated: 21 Jul 2022

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.