MRS. Delores Jean Tye, OPTICIAN
NPI #1417037219 in Council Bluffs, Iowa
Provider Information
- NPI Number
- 1417037219
- Entity Type
- Individual
- Name
- MRS. Delores Jean Tye, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2600 W BROADWAY
- City
- Council Bluffs
- State
- Iowa
- ZIP Code
- 51501-3512
- Phone
- (712) 322-3097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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