Mark T Eggleston in Clarkston - Ophthalmology
Mark T Eggleston - NPI 1306836705
Mark T Eggleston is a Ophthalmology in Clarkston, Washington. Mark T Eggleston practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mark T Eggleston is 1306836705. The last update date is 2008-04-30.
Mark T Eggleston's current location address is 500 Port Drive, Clarkston, Washington. You can contact this provider via phone number 5097588811 and fax number 5097511188. The mailing address for Mark T Eggleston is 500 Port Drive, Clarkston, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark T Eggleston |
|---|---|
| Address | 500 Port Drive, Clarkston, Washington |
| Phone Number | 5097588811 |
| Fax Number | 5097511188 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306836705 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 500 Port Drive |
|---|---|
| City | Clarkston |
| State | Washington (WA) |
| Post Code | 994031835 |
| Phone Number | 5097588811 |
| Fax Number | 5097511188 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | MD00039323 |
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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 |
|---|---|---|---|
| 10033114 | ID | REGENCE BLUE SHIELD OF IDAHO | |
| 152789 | WA | LABOR & INDUSTRY | |
| 806011100 | ID | -- | |
| MXXPR0054708 | WA | MOLINA HEALTHCARE | |
| 100033114 | FEDERAL BLUE CROSS | ||
| 24509 | WA | GROUP HEALTH COOPERATIVE | |
| BYHD5 | ID | BLUE CROSS OF IDAHO | |
| 10145029 | ID | REGENCE BLUE SHIELD OF IDAHO | |
| 8293425 | WA | -- | |
| 8928983 | WA | CRIME VICTIMES COMPENSATION AC |
Post Comment/ Review Below
What is the unique identifier code issued to Mark T Eggleston by the Centers for Medicare & Medicaid Services?
The Mark T Eggleston has been assigned the NPI (National Provider Identifier) 1306836705. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark T Eggleston's facilities are geographically located?
The facilities of Mark T Eggleston are physically situated at the following location: 500 Port Drive, Clarkston, WA, 994031835.
What is Mark T Eggleston's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark T Eggleston is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306836705 to Mark T Eggleston?
The Centers for Medicare & Medicaid Services originally issued the 1306836705 to Mark T Eggleston on 2005-10-26.
When was the information regarding Mark T Eggleston most recently updated?
The details pertaining to the Mark T Eggleston, including its address, specialty, and other relevant information, were last refreshed on 2008-04-30.