Provider Demographics
NPI:1790745602
Name:ALJETS, STEVEN A (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:ALJETS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2001 WESTOWN PKWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1540
Mailing Address - Country:US
Mailing Address - Phone:515-225-3533
Mailing Address - Fax:515-225-4474
Practice Address - Street 1:2001 WESTOWN PKWY
Practice Address - Street 2:SUITE 205
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1540
Practice Address - Country:US
Practice Address - Phone:515-225-3533
Practice Address - Fax:515-225-4474
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1883152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0169540Medicaid
IA42081OtherWELLMARK BC/BS
IA0169540Medicaid
IAT82779Medicare UPIN
IA42081OtherWELLMARK BC/BS
410037860Medicare PIN