| Lifetime Vision, Plc | |
|
255 16th St Sw, Sioux Center, IA 51250-2959 | |
| (720) 363-3192 | |
| Not Available |
| Full Name | Lifetime Vision, Plc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 255 16th St Sw, Sioux Center, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629522974 | NPI | - | NPPES |
| 1194758581 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 02040 (Iowa) | Primary |
| Provider Name | Cheryl J Bronner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194758581 PECOS PAC ID: 7911177746 Enrollment ID: I20110902000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Vision, Plc 1626 7th Ave Se, Sioux Center, IA 51250-1197 Ph: () - | Lifetime Vision, Plc 255 16th St Sw, Sioux Center, IA 51250-2959 Ph: (720) 363-3192 |
Paul W. Beaver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 S Main Ave, Sioux Center, IA 51250 Phone: 712-722-1270 Fax: 712-722-1282 | |
Paul W Beaver Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 105 S Main Ave, Sioux Center, IA 51250 Phone: 712-722-1270 Fax: 712-722-1282 | |
Dr. Peggy Sue Driesen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 318 N Main Ave, Sioux Center, IA 51250 Phone: 712-722-2051 Fax: 712-722-4531 | |
Dr. Scott Driesen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 318 N Main Ave, Sioux Center, IA 51250 Phone: 712-722-2051 Fax: 712-722-4531 | |
Driesen Eye Center, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 318 N Main Ave, Sioux Center, IA 51250 Phone: 712-722-2051 Fax: 712-722-4531 | |
Mr. Rees Beaver, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 S Main Ave, Sioux Center, IA 51250 Phone: 712-722-1270 |