| Optometric Center Of Charles City Pc | |
|
800 Clark St, Charles City, IA 50616-2218 | |
| (641) 228-1732 | |
| (641) 228-2434 |
| Full Name | Optometric Center Of Charles City Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 800 Clark St, Charles City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972596732 | NPI | - | NPPES |
| 0458463 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Curtis D Opp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568455319 PECOS PAC ID: 2769425958 Enrollment ID: I20050608000771 |
| Provider Name | Bradley J Ellingson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598102600 PECOS PAC ID: 0244466894 Enrollment ID: I20131204000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Optometric Center Of Charles City Pc 800 Clark St, Charles City, IA 50616-2218 Ph: (641) 228-1732 | Optometric Center Of Charles City Pc 800 Clark St, Charles City, IA 50616-2218 Ph: (641) 228-1732 |
Dr. Curtis David Opp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 Clark St, Charles City, IA 50616 Phone: 641-228-1732 Fax: 641-228-2434 | |
Dr. Bradley Ellingson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 Clark St, Charles City, IA 50616 Phone: 641-228-1732 | |
Dr. Paul Howard Burnham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Clark St, Charles City, IA 50616 Phone: 641-228-1732 Fax: 641-228-2434 |