Provider Demographics
NPI:1801826334
Name:WESTRUM, JOEL AARON (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:AARON
Last Name:WESTRUM
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 1:315 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1916
Mailing Address - Country:US
Mailing Address - Phone:515-230-7202
Mailing Address - Fax:
Practice Address - Street 1:3475 FENTON AVE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:IA
Practice Address - Zip Code:50249-7574
Practice Address - Country:US
Practice Address - Phone:515-230-7202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02344152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist