Advanced Eye Health

NPI #1922319888 in Le Mars, Iowa

Provider Information

NPI Number: 1922319888
Entity Type: Organization
Organization Name: Advanced Eye Health
Primary Specialty: Optometrist
Enumeration Date: Jun 25, 2010
Last Updated: Jun 25, 2010

Practice Location

Address: 1111 HOLTON DR
City: Le Mars
State: Iowa
ZIP Code: 51031-2884
Phone: (712) 546-6868

Authorized Official

Name: DR. REBECCA DERUYTER, OD
Title: OWNER
Phone: (712) 546-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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