Home » Iowa » 52136 » Cresco Family Optometry Llc

Cresco Family Optometry Llc

Cresco Family Optometry Llc is a health care provider in Cresco, IA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 213 N Elm St, Cresco, IA 52136-1521, US
Practice Location Phone563-547-5363
Practice Location Fax563-547-2621
Legal Business NameCRESCO FAMILY OPTOMETRY LLC
NPI ?1336337518
Entity TypeOrganization
Enumeration Date ? Oct 12, 2007
Last Update Date ? Dec 18, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Cresco Family Optometry Llc

SpecialtySpecializationLicenseLicense State
Optometrist 01837Iowa

legacy-id-icon Legacy Provider IDs of Cresco Family Optometry Llc

Provider IdIssuer StateIssuer TypeIssuer
0476465IowaMedicaid

official-icon Authorized Official of Cresco Family Optometry Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Cresco Family Optometry Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jeffrey Allen Leeper (O.D.)
Authorized Official Title/PositionDR./OWNER
Authorized Official Phone Number563-547-5363