MEDICARE: DR. CHARLES R VARCOE OD

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	1604	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811975592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES R VARCOE OD

Provider Business Mailing Address
First Line	:	209 NILE KINNICK DR S
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-1728
Country	:	US
Telephone Number	:	515-993-4753
Fax Number	:	515-993-4754

Provider Business Practice Location Address
First Line	:	209 NILE KINNICK DR S
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-1728
Country	:	US
Telephone Number	:	515-993-4753
Fax Number	:	515-993-4754

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	10/14/2008

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Directions to “ DR. CHARLES R VARCOE OD” Practice Location

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