| Tarra Vander Leest Od Pc | |
|
1306 18th St, Suite E, Spirit Lake, IA 51360-1163 | |
| (712) 336-4401 | |
| (712) 336-4403 |
| Full Name | Tarra Vander Leest Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1306 18th St, Spirit Lake, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194806117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 02288 (Iowa) | Primary |
| Provider Name | Tarra L Vander Leest |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447330980 PECOS PAC ID: 7618903345 Enrollment ID: I20050713000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarra Vander Leest Od Pc 3135 Sunner Ave, Spirit Lake, IA 51360-7678 Ph: (712) 330-0276 | Tarra Vander Leest Od Pc 1306 18th St, Suite E, Spirit Lake, IA 51360-1163 Ph: (712) 336-4401 |
Dr. David Ray Haisman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2200 17th St, Spirit Lake, IA 51360 Phone: 712-336-8939 Fax: 712-336-8952 | |
Robert L. Livingston, O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2600 Highway 9/71, Spirit Lake, IA 51360 Phone: 712-336-8939 Fax: 712-336-8952 | |
Tarra L Vander Leest, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1306 18th St, Suite E, Spirit Lake, IA 51360 Phone: 712-336-4401 Fax: 712-336-4403 | |
Dr. Kelly Norland, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2312 23rd St, Spirit Lake, IA 51360 Phone: 712-336-1960 Fax: 712-336-5428 | |
Dr. Randy Franklin Cornwall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2312 23rd Street, Spirit Lake, IA 51360 Phone: 712-336-1960 | |
Eyecare Centre Optometrist Medicare: Medicare Enrolled Practice Location: 2312 23rd Street, Spirit Lake, IA 51360 Phone: 712-336-1960 |