Corry, Raymond Walter
Corry, Raymond Walter is an individual health care provider with primary practice located at 310 W Locust St , Davenport IA 52803-2806. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Corry, Raymond Walter can be contacted via phone (563) 324-2020.Contact Information
Primary practice address
310 W Locust St
Davenport IA 52803-2806
Phone: (563) 324-2020
Fax: (563) 323-0949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1705 | Iowa |
Profile Details
| NPI number | 1295714343 |
|---|---|
| LBN Legal business name | Corry, Raymond Walter |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295714343 | NPPES |
| Iowa | MEDICAID | 1004341 | |
| Iowa | Other | 37841 |
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