Healthcare Provider Details

I. General information

NPI: 1780504464
Provider Name (Legal Business Name): YVONNE SAINSBURY-WILSON COT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 S 25TH ST
FORT DODGE IA
50501-5566
US

IV. Provider business mailing address

530 S 25TH ST
FORT DODGE IA
50501-5566
US

V. Phone/Fax

Practice location:
  • Phone: 515-576-2235
  • Fax:
Mailing address:
  • Phone: 515-576-2235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1101X
TaxonomyOphthalmic Assistant
License Number21936
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: