DOUGLAS ALAN DONNELLY

IOLA VISION SOURCE, LLC

Dr DOUGLAS ALAN DONNELLY is a male medical professional, specializing in Optometry. He graduated in 1988 from University Of Houston - College Of Optometry.

Contact

IOLA VISION SOURCE, LLC

424 N WASHINGTON AVE
IOLA
KS
667492353

Tel: 6203652108

DOUGLAS ALAN DONNELLY Information

Npi 1912972308
Pac Id 8022146729
Professional Enrollment Id I20100517000189
Last Name DONNELLY
First Name DOUGLAS
Middle Name ALAN
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduation Year 1988
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name IOLA VISION SOURCE, LLC
Group Practice Pac Id 5698765584
Number Of Group Practice Members 2
Line 1 Street Address 424 N WASHINGTON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IOLA
State KS
Zip Code 667492353
Phone Number 6203652108
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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