Clearwater Valley Optical in Lewiston - Ophthalmology
Clearwater Valley Optical - NPI 1457544306
Clearwater Valley Optical is a Ophthalmology in Lewiston, Idaho. Clearwater Valley Optical practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Clearwater Valley Optical is 1457544306. The last update date is 2007-08-23.
Clearwater Valley Optical's current location address is 2214 Vineyard Ave, Lewiston, Idaho. You can contact this provider via phone number 2087432241. The mailing address for Clearwater Valley Optical is 2214 Vineyard Ave, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clearwater Valley Optical |
|---|---|
| Address | 2214 Vineyard Ave, Lewiston, Idaho |
| Phone Number | 2087432241 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Baldeck M Eugene |
| Credentials | M.D. |
| Telephone Number | 2087432241 |
NPI Number Detail
| NPI Number | 1457544306 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2007-08-23 |
Provider Mailing Address Detail
| Address | 2214 Vineyard Ave |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835016352 |
| Phone Number | 2087432241 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | M-2629 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique identifier code issued to Clearwater Valley Optical by the Centers for Medicare & Medicaid Services (CMS)?
The Clearwater Valley Optical has been assigned the NPI (National Provider Identifier) 1457544306. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Clearwater Valley Optical is physically located?
The Clearwater Valley Optical is situated at the following address: 2214 Vineyard Ave, Lewiston, ID 835016352.
What is the Clearwater Valley Optical's specialty and taxonomy code?
The Clearwater Valley Optical's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Clearwater Valley Optical receive the assignment of its 1457544306 from the Centers for Medicare & Medicaid Services?
The Clearwater Valley Optical was issued its 1457544306 by the Centers for Medicare & Medicaid Services on 2007-08-23.
When was the information regarding Clearwater Valley Optical, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clearwater Valley Optical, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-23.
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