Eye Care Specialists Ps in Clarkston - Ophthalmology
Eye Care Specialists Ps - NPI 1760594709
Eye Care Specialists Ps is a Ophthalmology in Clarkston, Washington. Eye Care Specialists Ps practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Eye Care Specialists Ps is 1760594709. 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 | 1760594709 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| 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 | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265530003 | WA | DMERC | |
| 8927759 | WA | CRIME VICTIMS COMPENSATIO | |
| 8I052 | ID | BLUE CROSS OF IDAHO | |
| 10006387 | FEDERAL BLUE CROSS | ||
| 7088859 | WA | -- | |
| 85977 | ID | BLUE CROSS OF IDAHO | |
| 8I045 | ID | BLUE CROSS OF IDAHO | |
| 265530002 | WA | DMERC | |
| 1375873 | ID | MEDICARE | |
| 805350600 | ID | MEDICAID |
Post Comment/ Review Below
What is the unique identifier code issued to Eye Care Specialists Ps by the Centers for Medicare & Medicaid Services (CMS)?
The Eye Care Specialists Ps has been assigned the NPI (National Provider Identifier) 1760594709. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Eye Care Specialists Ps's facilities are geographically located?
The facilities of Eye Care Specialists Ps are physically situated at the following location: 500 Port Dr, Clarkston, WA, 994031835.
What is the Eye Care Specialists Ps's area of specialization and corresponding taxonomy classification?
The Eye Care Specialists Ps's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Eye Care Specialists Ps receive the assignment of its 1760594709 from the Centers for Medicare & Medicaid Services?
The Eye Care Specialists Ps was issued its 1760594709 by the Centers for Medicare & Medicaid Services on 2006-08-31.
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.