Mark Leroy Bottelson in Windsor Heights - Optometrist
Mark Leroy Bottelson - NPI 1689859704
Mark Leroy Bottelson is a Optometrist in Windsor Heights, Iowa. Mark Leroy Bottelson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Leroy Bottelson is 1689859704. The last update date is 2009-07-13.
Mark Leroy Bottelson's current location address is 1001 73rd St, Windsor Heights, Iowa. You can contact this provider via phone number 5152746452 and fax number 5152746306. The mailing address for Mark Leroy Bottelson is 1001 73rd St, Windsor Heights, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Leroy Bottelson |
|---|---|
| Address | 1001 73rd St, Windsor Heights, Iowa |
| Phone Number | 5152746452 |
| Fax Number | 5152746306 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1689859704 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2009-07-13 |
Provider Mailing Address Detail
| Address | 1001 73rd St |
|---|---|
| City | Windsor Heights |
| State | Iowa (IA) |
| Post Code | 503241311 |
| Phone Number | 5152746452 |
| Fax Number | 5152746306 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1684 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 238377 | IA | COVENTRY |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Leroy Bottelson by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Leroy Bottelson has been assigned the NPI (National Provider Identifier) 1689859704. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mark Leroy Bottelson is physically located?
The Mark Leroy Bottelson is situated at the following address: 1001 73Rd St, Windsor Heights, IA 503241311.
What is Mark Leroy Bottelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Leroy Bottelson's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689859704 to Mark Leroy Bottelson?
The Centers for Medicare & Medicaid Services assigned the 1689859704 to Mark Leroy Bottelson on 2008-01-08.
When was the information related to Mark Leroy Bottelson most recently updated or refreshed?
The details pertaining to the Mark Leroy Bottelson, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-07-13.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC