Whalio Doctors

NPI 1730174129

Larry Don Peck, OD

Practitioner Optometrist Fort Madison, IA

Practice location

Address
716 Avenue G, Fort Madison, IA 52627-2927
Phone
(319) 372-2321
Fax
(319) 372-2850

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1719 (IA)

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.