Chad William Cleverly in Boise - Optometrist
Chad William Cleverly - NPI 1386660959
Chad William Cleverly is a Optometrist in Boise, Idaho. Chad William Cleverly practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Chad William Cleverly is 1386660959. The last update date is 2007-07-08.
Chad William Cleverly's current location address is 3293 N Milwaukee St, Boise, Idaho. You can contact this provider via phone number 2083222020 and fax number 2083221192. The mailing address for Chad William Cleverly is 3293 N Milwaukee St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Chad William Cleverly |
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Address | 3293 N Milwaukee St, Boise, Idaho |
Phone Number | 2083222020 |
Fax Number | 2083221192 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1386660959 |
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Provider Enumeration Date | 2006-07-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3293 N Milwaukee St |
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City | Boise |
State | Idaho (ID) |
Post Code | 837044446 |
Phone Number | 2083222020 |
Fax Number | 2083221192 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | ODP-1015 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10015598 | ID | BLUE SHIELD | |
198230001 | ID | CIGNA SUPPLIER | |
V3967 | ID | BLUE CROSS |
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What is the unique identifier code issued to Chad William Cleverly by the Centers for Medicare & Medicaid Services?
The Chad William Cleverly has been assigned the NPI (National Provider Identifier) 1386660959. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Chad William Cleverly is physically located?
The Chad William Cleverly is physically situated at the following address: 3293 N Milwaukee St, Boise, ID, 837044446.
What is Chad William Cleverly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Chad William Cleverly is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Chad William Cleverly receive its 1386660959 assignment from the Centers for Medicare & Medicaid Services?
The Chad William Cleverly was assigned its 1386660959 by the Centers for Medicare & Medicaid Services on 2006-07-15.
As of what date were the Chad William Cleverly's details last updated?
The information pertaining to the Chad William Cleverly, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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