Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK LEROY BOTTELSON, O.D.
Active Sole ProprietorMARK LEROY BOTTELSON, O.D. is a Optometrist healthcare provider located in WINDSOR HEIGHTS, Iowa. NPI 1689859704 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WINDSOR HEIGHTS, IA
Registration Details
- NPI Number
- 1689859704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2008 (18.409367752542 yrs)
- Last Updated
- Jul 13, 2009
- License
-
01684 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 73RD STVISION CENTERWINDSOR HEIGHTS, IA, 503241311Browse IA providers · Browse ZIP 50324
- Phone
- 5152746452
- Fax
- 5152746306
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.