Healthcare Provider Details

I. General information

NPI: 1174456487
Provider Name (Legal Business Name): TRISTAN VOELKER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S MAIN ST
ELKADER IA
52043-9078
US

IV. Provider business mailing address

819 9TH ST SE STE B
DYERSVILLE IA
52040-2325
US

V. Phone/Fax

Practice location:
  • Phone: 563-245-2304
  • Fax:
Mailing address:
  • Phone: 563-875-0006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number139039
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: