Provider Demographics
NPI:1558341537
Name:FRANCIS, DENNIS WAYNE (OD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:WAYNE
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 ROBINS SQUARE DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROBINS
Mailing Address - State:IA
Mailing Address - Zip Code:52328
Mailing Address - Country:US
Mailing Address - Phone:319-377-2222
Mailing Address - Fax:319-294-4299
Practice Address - Street 1:1065 EAST POST ROAD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302
Practice Address - Country:US
Practice Address - Phone:319-377-2222
Practice Address - Fax:319-377-2967
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02168152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA43563OtherBCBS
IA43565OtherBCBS
IA0461921Medicaid
IA43564OtherBCBS
7887302OtherAETNA
I4860Medicare ID - Type Unspecified
IA0260340002Medicare NSC
7887302OtherAETNA
410046603Medicare ID - Type UnspecifiedRR
I7594Medicare ID - Type Unspecified
IA0260340003Medicare NSC
U67897Medicare UPIN