MEDICARE: ANTHONY D BAILEY OD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1970	IA

General Provider Information

NPI Number	:	1518041813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY D BAILEY OD PC

Provider Business Mailing Address
First Line	:	4521 CHADWICK RD
Second Line	:	SUITE 1
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-7958
Country	:	US
Telephone Number	:	319-266-1136
Fax Number	:	319-277-2326

Provider Business Practice Location Address
First Line	:	4521 CHADWICK RD
Second Line	:	SUITE 1
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-7958
Country	:	US
Telephone Number	:	319-266-1136
Fax Number	:	319-277-2326

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY DOUGLAS BAILEY
Credential	:	OD
Telephone Number	:	319-266-1136

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	02/26/2008

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