Eye Care Specialists Ps in Clarkston - Optometrist
Eye Care Specialists Ps - NPI 1972514917
Eye Care Specialists Ps is a Optometrist in Clarkston, Washington. Eye Care Specialists Ps practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Eye Care Specialists Ps is 1972514917. The last update date is 2011-09-20.
Eye Care Specialists Ps'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 Eye Care Specialists Ps is 500 Port Dr, Clarkston, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eye Care Specialists Ps |
|---|---|
| Address | 500 Port Dr, Clarkston, Washington |
| Phone Number | 5097588811 |
| Fax Number | 5097511188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eggleston T Mark |
| Credentials | MD |
| Telephone Number | 5097588811 |
NPI Number Detail
| NPI Number | 1972514917 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2011-09-20 |
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 | OD00003976 |
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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 |
|---|---|---|---|
| 7088859 | WA | -- | |
| 123143 | WA | LABOR & IND | |
| CN6339 | RAILROAD MEDICARE | ||
| 10006387 | REGENCE BLUE SHIELD | ||
| 24509 | GROUP HEALTH | ||
| 85977 | ID | BLUE CROSS | |
| 805350600 | ID | -- | |
| 8927759 | WA | CRIME VICTIMS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eye Care Specialists Ps by the Centers for Medicare & Medicaid Services?
The Eye Care Specialists Ps has been assigned the NPI (National Provider Identifier) 1972514917 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Eye Care Specialists Ps's facilities are situated?
The facilities of Eye Care Specialists Ps are physically located at the following address: 500 Port Dr, Clarkston, WA, 994031835.
What is Eye Care Specialists Ps's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eye Care Specialists Ps's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date was the 1972514917 assigned to Eye Care Specialists Ps?
The Eye Care Specialists Ps was issued its 1972514917 on 2006-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Eye Care Specialists Ps receive the assignment of its 1972514917 from the Centers for Medicare & Medicaid Services?
The Eye Care Specialists Ps was issued its 1972514917 by the Centers for Medicare & Medicaid Services on 2006-08-11.