Vannatta, Dennis Roy

Vannatta, Dennis Roy is an individual health care provider with primary practice located at 4600 Singing Hills Blvd , Sioux City IA 51106-9702. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vannatta, Dennis Roy can be contacted via phone (712) 271-4600.

Contact Information

Primary practice address
4600 Singing Hills Blvd Sioux City IA 51106-9702
Phone: (712) 271-4600
Fax: (712) 271-4604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X IA1725 Iowa

Profile Details

NPI number 1144212358
LBN Legal business name Vannatta, Dennis Roy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144212358 NPPES
Iowa MEDICAID 3214791
Iowa MEDICAID 2214791

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