Tarra Vander Leest Od PC

NPI #1194806117 in Spirit Lake, Iowa

Provider Information

NPI Number
1194806117
Entity Type
Organization
Organization Name
Tarra Vander Leest Od PC
Primary Specialty
Optometrist
Enumeration Date
Oct 17, 2006
Last Updated
Dec 23, 2023

Practice Location

Address
1306 18TH ST
Address 2
SUITE E
State
Iowa
ZIP Code
51360-1163
Phone
(712) 336-4401

Authorized Official

Name
TARRA L VANDER LEEST, O.D.
Title
PRESIDENT
Phone
(712) 330-0276

Specialties & Taxonomy Codes

Specialty
Optometrist

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