Daniel Joseph Vidlak in Grants Pass - Optometrist

Daniel Joseph Vidlak - NPI 1477648772

Daniel Joseph Vidlak is a Optometrist in Grants Pass, Oregon. Daniel Joseph Vidlak practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Daniel Joseph Vidlak is 1477648772. The last update date is 2023-03-07.

Daniel Joseph Vidlak's current location address is 1022 Nw 6th Street, Grants Pass, Oregon. You can contact this provider via phone number 5414764545. The mailing address for Daniel Joseph Vidlak is 1022 Nw 6th Street, Grants Pass, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Daniel Joseph Vidlak
Address 1022 Nw 6th Street, Grants Pass, Oregon
Phone Number 5414764545
Fax Number
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1477648772
Provider Enumeration Date 2006-10-03
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1022 Nw 6th Street
City Grants Pass
State Oregon (OR)
Post Code 97526
Phone Number 5414764545
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2643ATI
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
150462 OR --
2643ATI OR STATE LICENSE

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FAQs about Daniel Joseph Vidlak

What is the Daniel Joseph Vidlak's unique identification number?

The Daniel Joseph Vidlak has been assigned the NPI (National Provider Identifier) Number 1477648772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Daniel Joseph Vidlak's facilities are geographically located?

The facilities of Daniel Joseph Vidlak are physically situated at the following location: 1022 Nw 6Th Street, Grants Pass, OR, 97526.

What is Daniel Joseph Vidlak'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 Daniel Joseph Vidlak is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date was the 1477648772 assigned to Daniel Joseph Vidlak?

The Daniel Joseph Vidlak was issued its 1477648772 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Daniel Joseph Vidlak most recently updated or refreshed?

The details pertaining to the Daniel Joseph Vidlak, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.

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