William Thomas Black in Caldwell - Optometrist

William Thomas Black - NPI 1063591162

William Thomas Black is a Optometrist in Caldwell, Idaho. William Thomas Black practices all healthcare services and medical treatments related to Optometrist. The NPI Number for William Thomas Black is 1063591162. The last update date is 2012-08-30.

William Thomas Black's current location address is 420 E Elm St, Caldwell, Idaho. You can contact this provider via phone number 2084592020 and fax number 2084592034. The mailing address for William Thomas Black is 420 E Elm St, Caldwell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name William Thomas Black
Address 420 E Elm St, Caldwell, Idaho
Phone Number 2084592020
Fax Number 2084592034
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1063591162
Provider Enumeration Date 2006-11-02
Last Updated Date 2012-08-30

Provider Mailing Address Detail

Address 420 E Elm St
City Caldwell
State Idaho (ID)
Post Code 836054846
Phone Number 2084592020
Fax Number 2084592034

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No ID0857
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
2752500 ID --

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FAQs about William Thomas Black

What is the unique 10-digit identification code issued to William Thomas Black by the Centers for Medicare & Medicaid Services?

The William Thomas Black has been assigned the NPI (National Provider Identifier) 1063591162 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where William Thomas Black is located?

The William Thomas Black is situated at the following address: 420 E Elm St, Caldwell, ID, 836054846.

What is William Thomas Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for William Thomas Black is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date did William Thomas Black receive its 1063591162 assignment from the Centers for Medicare & Medicaid Services?

The William Thomas Black was assigned its 1063591162 on 2006-11-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding William Thomas Black, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William Thomas Black, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-08-30.

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