Fort Madison Lenscrafters

NPI #1902093156 in Fort Madison, Iowa

Provider Information

NPI Number: 1902093156
Entity Type: Organization
Organization Name: Fort Madison Lenscrafters
Primary Specialty: Optometrist
Enumeration Date: Oct 2, 2007
Last Updated: Oct 2, 2007

Practice Location

Address: 716 AVENUE G
City: Fort Madison
State: Iowa
ZIP Code: 52627-2927
Phone: (319) 372-2321

Authorized Official

Name: DR. LARRY DON PECK, OD
Title: OWNER/PHYSICIAN
Phone: (319) 372-2321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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