Steven Dale Shaffer in Dupont - Sports Vision

Steven Dale Shaffer - NPI 1245349869

Steven Dale Shaffer is a Sports Vision in Dupont, Washington. Steven Dale Shaffer practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Steven Dale Shaffer is 1245349869. The last update date is 2013-11-13.

Steven Dale Shaffer's current location address is 1570 Wilmington Dr, Dupont, Washington. You can contact this provider via phone number 2539120900 and fax number 2539128080. The mailing address for Steven Dale Shaffer is 1570 Wilmington Dr, Dupont, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Dale Shaffer
Address 1570 Wilmington Dr, Dupont, Washington
Phone Number 2539120900
Fax Number 2539128080
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1245349869
Provider Enumeration Date 2006-08-29
Last Updated Date 2013-11-13

Provider Mailing Address Detail

Address 1570 Wilmington Dr
City Dupont
State Washington (WA)
Post Code 983278773
Phone Number 2539120900
Fax Number 2539128080

Provider's Primary Taxonomy Detail

Speciality Sports Vision
Taxonomy 152Ws0006X
Licence No WA1618TX
Definition:
An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2029387 WA --

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FAQs about Steven Dale Shaffer

What is the Steven Dale Shaffer's unique identification number?

The Steven Dale Shaffer has been assigned the NPI (National Provider Identifier) Number 1245349869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Steven Dale Shaffer is geographically located?

The Steven Dale Shaffer is physically situated at the following location: 1570 Wilmington Dr, Dupont, WA, 983278773.

What is Steven Dale Shaffer'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 Steven Dale Shaffer is Sports Vision, and the taxonomy classification code that categorizes this area of expertise is 152Ws0006X.

When did Steven Dale Shaffer receive its 1245349869 assignment?

The Steven Dale Shaffer was assigned its 1245349869 on 2006-08-29, which is the date when this unique identifier was issued to the organization.

As of what date were the Steven Dale Shaffer's details last updated?

The information pertaining to the Steven Dale Shaffer, including its address, specialty, and other details, was most recently updated on 2013-11-13.

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