Coeur Dalene Vision Source in Coeur D Alene - Optometrist
Coeur Dalene Vision Source - NPI 1598881351
Coeur Dalene Vision Source is a Optometrist in Coeur D Alene, Idaho. Coeur Dalene Vision Source practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Coeur Dalene Vision Source is 1598881351. The last update date is 2023-06-19.
Coeur Dalene Vision Source's current location address is 3879 N Schreiber Way, Coeur D Alene, Idaho. You can contact this provider via phone number 2087652020 and fax number 2087651460. The mailing address for Coeur Dalene Vision Source is 3879 N Schreiber Way, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coeur Dalene Vision Source |
|---|---|
| Address | 3879 N Schreiber Way, Coeur D Alene, Idaho |
| Phone Number | 2087652020 |
| Fax Number | 2087651460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Greene Karl Raymond |
| Credentials | OD |
| Telephone Number | 2087652020 |
NPI Number Detail
| NPI Number | 1598881351 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2023-06-19 |
Provider Mailing Address Detail
| Address | 3879 N Schreiber Way |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838158362 |
| Phone Number | 2087652020 |
| Fax Number | 2087651460 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODP845 |
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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 |
|---|---|---|---|
| 807085000 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Coeur Dalene Vision Source by the Centers for Medicare & Medicaid Services?
The Coeur Dalene Vision Source has been issued the NPI (National Provider Identifier) 1598881351 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Coeur Dalene Vision Source?
The Coeur Dalene Vision Source is situated at 3879 N Schreiber Way, in the city of Coeur D Alene, state of ID, with the zip code 838158362.
What is Coeur Dalene Vision Source's specialized field of practice, and what is the corresponding taxonomy classification code?
The Coeur Dalene Vision Source's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
When did Coeur Dalene Vision Source receive its 1598881351 assignment?
The Coeur Dalene Vision Source was assigned its 1598881351 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Coeur Dalene Vision Source last refreshed?
The information related to the Coeur Dalene Vision Source, including its address, specialty, and other relevant details, was last updated on 2023-06-19.