DR. Todd Randall Pietig, O.D.

NPI #1962693028 in Clive, Iowa

Provider Information

NPI Number: 1962693028
Entity Type: Individual
Name: DR. Todd Randall Pietig, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 5, 2007
Last Updated: Feb 25, 2011

Practice Location

Address: 12871 UNIVERSITY AVE
Address 2: SUITE 140
City: Clive
State: Iowa
ZIP Code: 50325-8255
Phone: (712) 830-6806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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