Dorian Max Rammell in Clarkston - Optometrist

Dorian Max Rammell - NPI 1245496744

Dorian Max Rammell is a Optometrist in Clarkston, Washington. Dorian Max Rammell practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dorian Max Rammell is 1245496744. The last update date is 2010-06-01.

Dorian Max Rammell's current location address is 500 Port Dr, Clarkston, Washington. You can contact this provider via phone number 5097588811 and fax number 5097511188. The mailing address for Dorian Max Rammell is 500 Port Dr, Clarkston, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Dorian Max Rammell
Address 500 Port Dr, Clarkston, Washington
Phone Number 5097588811
Fax Number 5097511188
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1245496744
Provider Enumeration Date 2008-08-04
Last Updated Date 2010-06-01

Provider Mailing Address Detail

Address 500 Port Dr
City Clarkston
State Washington (WA)
Post Code 994031835
Phone Number 5097588811
Fax Number 5097511188

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 3114-035
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
252321 WA LABOR & INDUSTRY
2035350 PIN WA --
808328900 GRP ID --
P00775620 WA RAILROAD MEDICARE
OD 60108608 WA STATE LICENSE
10174293 ID REGENCE BLUE SHIELD CLARKSTON
10174294 ID REGENCE BLUE SHIELD PULLMAN
10174293 FEDERAL BLUE CROSS
252321 WA CRIME VICTIMS COMPENSATION ACT
1245496744 ID BLUE CROSS OF IDAHO

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FAQs about Dorian Max Rammell

What is the unique 10-digit identification code assigned to Dorian Max Rammell by the Centers for Medicare & Medicaid Services?

The Dorian Max Rammell has been issued the NPI (National Provider Identifier) 1245496744, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Dorian Max Rammell?

The Dorian Max Rammell is physically situated at 500 Port Dr, in the city of Clarkston, state of WA, with the postal code 994031835.

What is Dorian Max Rammell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dorian Max Rammell's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245496744 to Dorian Max Rammell?

The Centers for Medicare & Medicaid Services assigned the 1245496744 to Dorian Max Rammell on 2008-08-04.

As of what date were the Dorian Max Rammell's details last updated?

The information pertaining to the Dorian Max Rammell, including its address, specialty, and other details, was most recently updated on 2010-06-01.

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