Jay D Petersma Od PC

NPI #1114279866 in Johnston, Iowa

Provider Information

NPI Number
1114279866
Entity Type
Organization
Organization Name
Jay D Petersma Od PC
Primary Specialty
Optometrist
Enumeration Date
Oct 4, 2012
Last Updated
Oct 4, 2012

Practice Location

Address
5501 NW 86TH ST
Address 2
STE 500
State
Iowa
ZIP Code
50131-1816
Phone
(515) 270-0494

Authorized Official

Name
DR. JAY D PETERSMA, O.D.
Title
PRESIDENT
Phone
(515) 270-0494

Specialties & Taxonomy Codes

Specialty
Optometrist

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