Justin David Sparhawk in Eagle - Corneal And Contact Management
Justin David Sparhawk - NPI 1669552048
Justin David Sparhawk is a Corneal And Contact Management in Eagle, Idaho. Justin David Sparhawk practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Justin David Sparhawk is 1669552048. The last update date is 2007-07-08.
Justin David Sparhawk's current location address is 781 N Shadowridge Ave, Eagle, Idaho. You can contact this provider via phone number 2089393294. The mailing address for Justin David Sparhawk is 781 N Shadowridge Ave, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin David Sparhawk |
|---|---|
| Address | 781 N Shadowridge Ave, Eagle, Idaho |
| Phone Number | 2089393294 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1669552048 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 781 N Shadowridge Ave |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836165674 |
| Phone Number | 2089393294 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | ODP-100122 |
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What is the unique identification code assigned to Justin David Sparhawk by the Centers for Medicare & Medicaid Services?
The Justin David Sparhawk has been issued the NPI (National Provider Identifier) 1669552048. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Justin David Sparhawk's facilities are geographically located?
The facilities of Justin David Sparhawk are physically situated at the following location: 781 N Shadowridge Ave, Eagle, ID, 836165674.
What is Justin David Sparhawk's specialized field of practice, and what is the corresponding taxonomy classification code?
The Justin David Sparhawk's area of specialization is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this field of practice is 152Wc0802X.
When did Justin David Sparhawk receive its 1669552048 assignment?
The Justin David Sparhawk was assigned its 1669552048 on 2006-10-17, which is the date when this unique identifier was issued to the organization.
When was the information regarding Justin David Sparhawk most recently updated?
The details pertaining to the Justin David Sparhawk, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.