Healthcare Provider Details

I. General information

NPI: 1922112432
Provider Name (Legal Business Name): KATALIN B HOTSENPILLER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 5TH ST STE 1
CORALVILLE IA
52241-2339
US

IV. Provider business mailing address

708 5TH ST STE 1
CORALVILLE IA
52241-2339
US

V. Phone/Fax

Practice location:
  • Phone: 319-569-1936
  • Fax:
Mailing address:
  • Phone: 319-569-1936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number02316
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: