Chris E Deitrick in Mountain View - Optometrist
Chris E Deitrick - NPI 1669470183
Chris E Deitrick is a Optometrist in Mountain View, Arkansas. Chris E Deitrick practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Chris E Deitrick is 1669470183. The last update date is 2023-08-14.
Chris E Deitrick's current location address is Po Box 1460, Mountain View, Arkansas. You can contact this provider via phone number 8702693610 and fax number 8702695086. The mailing address for Chris E Deitrick is Po Box 1460, Mountain View, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris E Deitrick |
|---|---|
| Address | Po Box 1460, Mountain View, Arkansas |
| Phone Number | 8702693610 |
| Fax Number | 8702695086 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1669470183 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2023-08-14 |
Provider Mailing Address Detail
| Address | Po Box 1460 |
|---|---|
| City | Mountain View |
| State | Arkansas (AR) |
| Post Code | 725601460 |
| Phone Number | 8702693610 |
| Fax Number | 8702695086 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2516 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 431988740 | AR | TAX ID # | |
| 145299722 | AR | -- | |
| 4709560001 | AR | MEDICARE DMEPOS ID # | |
| 19930000041 | AR | QUALCHOICE ID # | |
| 410049416 | AR | MEDICARE RR ID# |
Post Comment/ Review Below
What is the unique identification code assigned to Chris E Deitrick by the Centers for Medicare & Medicaid Services?
The Chris E Deitrick has been issued the NPI (National Provider Identifier) 1669470183. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Chris E Deitrick is physically located?
The Chris E Deitrick is physically situated at the following address: Po Box 1460, Mountain View, AR, 725601460.
What is Chris E Deitrick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chris E Deitrick's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669470183 to Chris E Deitrick?
The Chris E Deitrick received its 1669470183 assignment from the Centers for Medicare & Medicaid Services on 2005-07-08.
As of what date were the Chris E Deitrick's details last updated?
The information pertaining to the Chris E Deitrick, including its address, specialty, and other details, was most recently updated on 2023-08-14.