Jeremy Vaughn Beam in Walla Walla - Optometrist

Jeremy Vaughn Beam - NPI 1790753366

Jeremy Vaughn Beam is a Optometrist in Walla Walla, Washington. Jeremy Vaughn Beam practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeremy Vaughn Beam is 1790753366. The last update date is 2012-08-08.

Jeremy Vaughn Beam's current location address is Po Box 1138, Walla Walla, Washington. You can contact this provider via phone number 5095292020 and fax number 5095292115. The mailing address for Jeremy Vaughn Beam is Po Box 1138, Walla Walla, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy Vaughn Beam
Address Po Box 1138, Walla Walla, Washington
Phone Number 5095292020
Fax Number 5095292115
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1790753366
Provider Enumeration Date 2006-03-09
Last Updated Date 2012-08-08

Provider Mailing Address Detail

Address Po Box 1138
City Walla Walla
State Washington (WA)
Post Code 99362
Phone Number 5095292020
Fax Number 5095292115

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 3912
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
323400001 MC SUPPLY CIGNA DMERC
8886644808 COMMUNITY HEALTH PLAN WA
7666593 AETNA
610605300 DEPT OF LABOR SEATTLE DFE
22886006 REGENCE OREGON
910940489 COMERCIAL CLAIMS
190335 DEPT OF LABOR & INDUSTRY
2029635 WA --
2576 GROUP HEALTH
5485BE REGENCE WASHINGTON

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FAQs about Jeremy Vaughn Beam

What is the unique 10-digit identifier code assigned to Jeremy Vaughn Beam by the Centers for Medicare & Medicaid Services?

The Jeremy Vaughn Beam has been issued the NPI (National Provider Identifier) 1790753366 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jeremy Vaughn Beam?

The Jeremy Vaughn Beam is physically situated at Po Box 1138, in the city of Walla Walla, state of WA, with the postal code 99362.

What is the area of specialization for Jeremy Vaughn Beam, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeremy Vaughn Beam is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

When was the Jeremy Vaughn Beam's 1790753366 issued?

The Jeremy Vaughn Beam's 1790753366 was issued on 2006-03-09.

When was the information related to Jeremy Vaughn Beam most recently updated or refreshed?

The details pertaining to the Jeremy Vaughn Beam, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-08-08.

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