NPI 1730174129
Larry Don Peck, OD
Practice location
- Address
- 716 Avenue G, Fort Madison, IA 52627-2927
- Phone
- (319) 372-2321
- Fax
- (319) 372-2850
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1730174129
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Sep 2005
- 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.