Wade Roger Demordaunt in Rexburg - Corneal And Contact Management
Wade Roger Demordaunt - NPI 1275591711
Wade Roger Demordaunt is a Corneal And Contact Management in Rexburg, Idaho. Wade Roger Demordaunt practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Wade Roger Demordaunt is 1275591711. The last update date is 2016-02-01.
Wade Roger Demordaunt's current location address is Po Box 158, Rexburg, Idaho. You can contact this provider via phone number 2084976406 and fax number 2083593007. The mailing address for Wade Roger Demordaunt is Po Box 158, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wade Roger Demordaunt |
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Address | Po Box 158, Rexburg, Idaho |
Phone Number | 2084976406 |
Fax Number | 2083593007 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1275591711 |
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Provider Enumeration Date | 2006-05-03 |
Last Updated Date | 2016-02-01 |
Provider Mailing Address Detail
Address | Po Box 158 |
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City | Rexburg |
State | Idaho (ID) |
Post Code | 834400158 |
Phone Number | 2084976406 |
Fax Number | 2083593007 |
Provider's Primary Taxonomy Detail
Speciality | Corneal And Contact Management |
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Taxonomy | 152Wc0802X |
Licence No | ODP-959 |
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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What is the Wade Roger Demordaunt's 1275591711?
The Wade Roger Demordaunt's NPI (National Provider Identifier) Number is 1275591711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wade Roger Demordaunt's facilities are geographically located?
The facilities of Wade Roger Demordaunt are physically situated at the following location: Po Box 158, Rexburg, ID, 834400158.
What is Wade Roger Demordaunt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wade Roger Demordaunt is Corneal And Contact Management, and the taxonomy code that categorizes this field of expertise is 152Wc0802X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275591711 to Wade Roger Demordaunt?
The Centers for Medicare & Medicaid Services assigned the 1275591711 to Wade Roger Demordaunt on 2006-05-03.
As of what date were the Wade Roger Demordaunt's details last updated?
The information pertaining to the Wade Roger Demordaunt, including its address, specialty, and other details, was most recently updated on 2016-02-01.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY