Sparhawk Vision, Chtd in Mampa - Corneal And Contact Management

Sparhawk Vision, Chtd - NPI 1538388624

Sparhawk Vision, Chtd is a Corneal And Contact Management in Mampa, Idaho. Sparhawk Vision, Chtd practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Sparhawk Vision, Chtd is 1538388624. The last update date is 2020-08-22.

Sparhawk Vision, Chtd's current location address is 2025 12th Ave Rd, Mampa, Idaho. You can contact this provider via phone number 2084611000. The mailing address for Sparhawk Vision, Chtd is 2025 12th Ave Rd, Mampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sparhawk Vision, Chtd
Address 2025 12th Ave Rd, Mampa, Idaho
Phone Number 2084611000
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPTOMETRIS
Authorized Official Name Sparhawk David Justin
Credentials OD
Telephone Number 2084611000

NPI Number Detail

NPI Number 1538388624
Provider Enumeration Date 2007-04-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2025 12th Ave Rd
City Mampa
State Idaho (ID)
Post Code 83686
Phone Number 2084611000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Corneal And Contact Management
Taxonomy 152Wc0802X
Licence No ODP-100122
Definition:
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi

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FAQs about Sparhawk Vision, Chtd

What is the unique 10-digit identifier code assigned to Sparhawk Vision, Chtd by the Centers for Medicare & Medicaid Services?

The Sparhawk Vision, Chtd has been issued the NPI (National Provider Identifier) 1538388624 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Sparhawk Vision, Chtd is geographically located?

The Sparhawk Vision, Chtd is physically situated at the following location: 2025 12Th Ave Rd, Mampa, ID, 83686.

What is Sparhawk Vision, Chtd'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 Sparhawk Vision, Chtd is Corneal And Contact Management, and the taxonomy classification code that categorizes this area of expertise is 152Wc0802X.

On what date did the Sparhawk Vision, Chtd receive the assignment of its 1538388624 from the Centers for Medicare & Medicaid Services?

The Sparhawk Vision, Chtd was issued its 1538388624 by the Centers for Medicare & Medicaid Services on 2007-04-25.

As of what date was the information pertaining to Sparhawk Vision, Chtd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sparhawk Vision, Chtd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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