Provider Demographics
NPI:1073184339
Name:SEMROW FAMILY VISION, PC
Entity Type:Organization
Organization Name:SEMROW FAMILY VISION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMROW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-965-0909
Mailing Address - Street 1:2409 SE DELAWARE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-4568
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1304 NW 25TH ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7836
Practice Address - Country:US
Practice Address - Phone:515-965-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty