Provider Demographics
NPI:1114931680
Name:NEFF, GEORGE MICHAEL (OD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MICHAEL
Last Name:NEFF
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 1:116 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-5844
Mailing Address - Country:US
Mailing Address - Phone:641-253-5042
Mailing Address - Fax:641-753-5292
Practice Address - Street 1:116 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-5844
Practice Address - Country:US
Practice Address - Phone:641-753-5042
Practice Address - Fax:641-753-5292
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1527152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2088443Medicaid
IA08844OtherWELLMARK BCBS
IA14011Medicare ID - Type Unspecified
IA2088443Medicaid