Healthcare Provider Details

I. General information

NPI: 1427231851
Provider Name (Legal Business Name): A PERFECT PAIR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 12/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1953 1ST AVE SE SUITE D6
CEDAR RAPIDS IA
52402-5328
US

IV. Provider business mailing address

1953 1ST AVE SE SUITE D6
CEDAR RAPIDS IA
52402-5328
US

V. Phone/Fax

Practice location:
  • Phone: 319-365-8746
  • Fax: 319-368-6647
Mailing address:
  • Phone: 319-365-8746
  • Fax: 319-368-6647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. F. DEANINE GILBERTSON
Title or Position: PRESIDENT
Credential:
Phone: 319-310-1355