Provider Demographics
NPI:1225410087
Name:THORNTON & BELL PLLC
Entity type:Organization
Organization Name:THORNTON & BELL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:712-261-1915
Mailing Address - Street 1:270 W 1ST ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-2145
Mailing Address - Country:US
Mailing Address - Phone:712-261-1915
Mailing Address - Fax:
Practice Address - Street 1:270 W 1ST ST
Practice Address - Street 2:SUITE H
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-2145
Practice Address - Country:US
Practice Address - Phone:712-261-1915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-28
Last Update Date:2015-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002556261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery