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DR. PAT M BARTELS O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1063450930

Individual Registrant:
DR. PAT M BARTELS O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
1920 RUE ST  COUNCIL BLUFFS, IA 51503-3601 US
Tel: 712-323-3401  Fax: 712-256-6713

Contact information for business:
1920 RUE ST  COUNCIL BLUFFS, IA 51503-3601 US
Tel: 712-323-3401  Fax: 712-256-6713

Registration Information:
NPI: 1063450930
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
IA02238

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICARE410039340IA01




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