| Mark L. Bottelson, O.d. And Associates, P.c. | |
|
1001 73rd St, Vision Center, Windsor Heights, IA 50324-1311 | |
| (515) 274-6452 | |
| (515) 274-6306 |
| Full Name | Mark L. Bottelson, O.d. And Associates, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1001 73rd St, Windsor Heights, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740279470 | NPI | - | NPPES |
| 551764 | Other | NATIONAL VISION ADMIN. | |
| 6151 | Other | IA | MIDLANDS CHOICE |
| 9391471 | Other | PRIVATE HEALTH CARE SYSTE | |
| 36759 | Other | IA | BLUE CROSS BLUE SHIELD |
| 3167973 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1684 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L. Bottelson, O.d. And Associates, P.c. 1001 73rd St, Vision Center, Windsor Heights, IA 50324-1311 Ph: (515) 274-6452 | Mark L. Bottelson, O.d. And Associates, P.c. 1001 73rd St, Vision Center, Windsor Heights, IA 50324-1311 Ph: (515) 274-6452 |
Mark Leroy Bottelson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 73rd St, Vision Center, Windsor Heights, IA 50324 Phone: 515-274-6452 Fax: 515-274-6306 |