Eye Care Specialists Ps in Clarkston - Contact Lens Fitter
Eye Care Specialists Ps - NPI 1710048772
Eye Care Specialists Ps is a Contact Lens Fitter in Clarkston, Washington. Eye Care Specialists Ps practices all healthcare services and medical treatments related to Contact Lens Fitter. The NPI Number for Eye Care Specialists Ps is 1710048772. The last update date is 2011-09-20.
Eye Care Specialists Ps's current location address is 500 Port Dr, Clarkston, Washington. You can contact this provider via phone number 5097588811 and fax number 5097511188. The mailing address for Eye Care Specialists Ps is 500 Port Dr, Clarkston, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eye Care Specialists Ps |
|---|---|
| Address | 500 Port Dr, Clarkston, Washington |
| Phone Number | 5097588811 |
| Fax Number | 5097511188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eggleston T Mark |
| Credentials | MD |
| Telephone Number | 5097588811 |
NPI Number Detail
| NPI Number | 1710048772 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 500 Port Dr |
|---|---|
| City | Clarkston |
| State | Washington (WA) |
| Post Code | 994031835 |
| Phone Number | 5097588811 |
| Fax Number | 5097511188 |
Provider's Primary Taxonomy Detail
| Speciality | Contact Lens Fitter |
|---|---|
| Taxonomy | 156Fc0801X |
| Licence No | 601269693 |
|
Definition: An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10006387 | REGENCE BLUE SHIELD | ||
| 805350600 | ID | -- | |
| 8927759 | WA | CRIME VICTIMS | |
| 85977 | ID | BLUE CROSS | |
| 123143 | WA | LABOR & IND | |
| 24509 | GROUP HEALTH | ||
| 7088859 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eye Care Specialists Ps by the Centers for Medicare & Medicaid Services?
The Eye Care Specialists Ps has been assigned the NPI (National Provider Identifier) 1710048772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Eye Care Specialists Ps is physically located?
The Eye Care Specialists Ps is physically situated at the following address: 500 Port Dr, Clarkston, WA, 994031835.
What is Eye Care Specialists Ps's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eye Care Specialists Ps is Contact Lens Fitter, and the taxonomy code that classifies this field of practice is 156Fc0801X.
When did the Eye Care Specialists Ps receive its 1710048772?
The Eye Care Specialists Ps was issued its 1710048772 on 2006-12-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Eye Care Specialists Ps most recently updated or revised?
The information pertaining to Eye Care Specialists Ps, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-20.