Vander Wilt, Cara
Vander Wilt, Cara is an sole proprietor health care provider with primary practice located at 5501 Nw 86Th St Ste 500 , Johnston IA 50131-1815. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vander Wilt, Cara can be contacted via phone (515) 270-0494.Contact Information
Primary practice address
5501 Nw 86Th St Ste 500
Johnston IA 50131-1815
Phone: (515) 270-0494
Fax: (515) 270-6463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02289 | Iowa |
Profile Details
| NPI number | 1124012869 |
|---|---|
| LBN Legal business name | Vander Wilt, Cara |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Aug 14th, 2023 - about 3 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 | 1124012869 | NPPES |
| Iowa | MEDICAID | 1124012869 |
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