Provider Demographics
NPI:1699775981
Name:SEMLER, CRAIG L (OD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:L
Last Name:SEMLER
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 1:402 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
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01568152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAINDIVIDUAL 09433OtherWELLMARK
IAINDIVIDUAL 1094334Medicaid
IAINDIVIDUAL P00285810OtherRAILROAD MEDICARE
IAINDIVIDUAL 203921501OtherCOMMERCIAL INSURANCE
IAINDIVIDUAL 09433OtherWELLMARK
IAINDIVIDUAL 1094334Medicaid