NPI 1790763811

Ralph Jacob Dehaan, OD

Practitioner Optometrist Pella, IA

Practice location

Address: 823 Franklin St, Pella, IA 50219-1603
Phone: (641) 628-9225

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1831 (IA)

Other Optometrist providers in Iowa →

Registry record

NPI: 1790763811
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2006
Record last updated: 12 Dec 2012

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.