Chris Deitrick Od Pa in Mountain View - Corneal And Contact Management
Chris Deitrick Od Pa - NPI 1780773481
Chris Deitrick Od Pa is a Corneal And Contact Management in Mountain View, Arkansas. Chris Deitrick Od Pa practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Chris Deitrick Od Pa is 1780773481. The last update date is 2008-02-20.
Chris Deitrick Od Pa's current location address is Po Box 1460, Mountain View, Arkansas. You can contact this provider via phone number 8702693610 and fax number 8702695086. The mailing address for Chris Deitrick Od Pa is Po Box 1460, Mountain View, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chris Deitrick Od Pa |
|---|---|
| Address | Po Box 1460, Mountain View, Arkansas |
| Phone Number | 8702693610 |
| Fax Number | 8702695086 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Lee Lanette |
| Telephone Number | 8702693610 |
NPI Number Detail
| NPI Number | 1780773481 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | Po Box 1460 |
|---|---|
| City | Mountain View |
| State | Arkansas (AR) |
| Post Code | 725601460 |
| Phone Number | 8702693610 |
| Fax Number | 8702695086 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 2516 |
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What is the unique provider identifier assigned to Chris Deitrick Od Pa?
The Chris Deitrick Od Pa has been issued the NPI (National Provider Identifier) 1780773481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Chris Deitrick Od Pa located?
The Chris Deitrick Od Pa is located at Po Box 1460, Mountain View, AR 725601460.
What is the Chris Deitrick Od Pa's specialty and taxonomy code?
The Chris Deitrick Od Pa's specialty is Corneal And Contact Management, and the corresponding taxonomy code is 152Wc0802X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780773481 to Chris Deitrick Od Pa?
The Chris Deitrick Od Pa received its 1780773481 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date was the information pertaining to Chris Deitrick Od Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Chris Deitrick Od Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-20.