Fitzgerald, Deann M
Fitzgerald, Deann M is an individual health care provider with primary practice located at 3225 Williams Pkwy Sw Suite 1, Cedar Rapids IA 52404-1476. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fitzgerald, Deann M can be contacted via phone (319) 366-3500.Contact Information
Primary practice address
3225 Williams Pkwy Sw Suite 1
Cedar Rapids IA 52404-1476
Phone: (319) 366-3500
Fax: (319) 366-4116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 01818 | Iowa |
Profile Details
| NPI number | 1619958428 |
|---|---|
| LBN Legal business name | Fitzgerald, Deann M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jun 21st, 2011 - about 15 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 | 1619958428 | NPPES |
| Iowa | MEDICAID | 3015248 |
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