Dale J Swetlishnoff in Springfield - Optometrist
Dale J Swetlishnoff - NPI 1649233057
Dale J Swetlishnoff is a Optometrist in Springfield, Illinois. Dale J Swetlishnoff practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dale J Swetlishnoff is 1649233057. The last update date is 2008-08-28.
Dale J Swetlishnoff's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Dale J Swetlishnoff is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale J Swetlishnoff |
|---|---|
| Address | 1025 S 6th St, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1649233057 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2008-08-28 |
Provider Mailing Address Detail
| Address | 1025 S 6th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627032403 |
| Phone Number | 2175287541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008093 |
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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 |
|---|---|---|---|
| P00382237 | IL | RR MEDICARE | |
| 46008093 | IL | -- |
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What is the Dale J Swetlishnoff's unique identification number?
The Dale J Swetlishnoff has been assigned the NPI (National Provider Identifier) Number 1649233057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dale J Swetlishnoff located?
The Dale J Swetlishnoff is located at 1025 S 6Th St, Springfield, IL 627032403.
What is the Dale J Swetlishnoff's specialty and taxonomy code?
The Dale J Swetlishnoff's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649233057 to Dale J Swetlishnoff?
The Centers for Medicare & Medicaid Services originally issued the 1649233057 to Dale J Swetlishnoff on 2006-04-07.
As of what date were the details related to Dale J Swetlishnoff most recently updated or revised?
The information pertaining to Dale J Swetlishnoff, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-28.