Michael Charles Lock, OD
Optometrist in West Des Moines, IA. Individual provider (NPI-1).
NPI number1649350331
StatusActive
Last updated in NPPESAug 23, 2014
Details
- NPI
- 1649350331
- Entity type
- Individual (NPI-1)
- Name
- Michael Charles Lock
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Aug 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 02379 | IA | Yes |
Practice location
101 Jordan Creek PkwySuite 12190
West Des Moines, IA 50266-8181
Phone 312-545-3705
Mailing address
1230 37th StDes Moines, IA 50311-2707
Phone 515-339-1836
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All 45 Optometrist providers in West Des Moines · All 3,035 providers in West Des Moines
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