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Search › Iowa › 152W00000X

Benjamin Iwai, O.D

NPI 1417399890 · on the registry since 2013 · sole proprietor

Practice

Address
313 N Roosevelt Ave
Burlington, IA 52601
Phone
(319) 758-9145
Organisation at this address
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa