Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist | 17-387-23 |
NPI | 1003371162 |
---|---|
Provider Name | Hillary Anastasia Yeager |
First Address | Iowa City, IA 52240-4551 |
Second Address | Iowa City, IA 52240-4551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2019 |
Last Update Date | 01/11/2021 |