Provider Demographics
NPI:1922113216
Name:CRAIG L SEMLER, O.D., P.C.
Entity Type:Organization
Organization Name:CRAIG L SEMLER, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SEMLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:641-456-4251
Mailing Address - Street 1:402 12TH AVE NE
Mailing Address - Street 2:PO BOX 89
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-0089
Mailing Address - Country:US
Mailing Address - Phone:641-456-4251
Mailing Address - Fax:641-456-3612
Practice Address - Street 1:402 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-0089
Practice Address - Country:US
Practice Address - Phone:641-456-4251
Practice Address - Fax:641-456-3612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01568152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0483876Medicaid
IA09433OtherWELLMARK
IADE3284OtherRAILROAD MEDICARE
IA09433OtherWELLMARK
IAI16880Medicare PIN