Mary C Oberg in Fort Dodge - Optometrist

Mary C Oberg - NPI 1164491312

Mary C Oberg is a Optometrist in Fort Dodge, Iowa. Mary C Oberg practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mary C Oberg is 1164491312. The last update date is 2008-03-27.

Mary C Oberg's current location address is 115 S 29th St, Fort Dodge, Iowa. You can contact this provider via phone number 5155737401 and fax number 5155768591. The mailing address for Mary C Oberg is 115 S 29th St, Fort Dodge, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary C Oberg
Address 115 S 29th St, Fort Dodge, Iowa
Phone Number 5155737401
Fax Number 5155768591
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1164491312
Provider Enumeration Date 2006-03-17
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 115 S 29th St
City Fort Dodge
State Iowa (IA)
Post Code 505012951
Phone Number 5155737401
Fax Number 5155768591

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1984
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36672 IA BLUE CROSS BLUE SHIELD
P00278463 IA RAILROAD MEDICARE
213410102 IA DMERC
2086660 IA --

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FAQs about Mary C Oberg

What is the Mary C Oberg's unique identification number?

The Mary C Oberg has been assigned the NPI (National Provider Identifier) Number 1164491312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Mary C Oberg is physically located?

The Mary C Oberg is physically situated at the following address: 115 S 29Th St, Fort Dodge, IA, 505012951.

What is Mary C Oberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary C Oberg's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164491312 to Mary C Oberg?

The Centers for Medicare & Medicaid Services originally issued the 1164491312 to Mary C Oberg on 2006-03-17.

As of what date were the details related to Mary C Oberg most recently updated or revised?

The information pertaining to Mary C Oberg, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-27.

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