Glendive Eyecare in Glendive - Clinic/center
Glendive Eyecare - NPI 1841461563
Glendive Eyecare is a Clinic/center in Glendive, Montana. Glendive Eyecare practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Glendive Eyecare is 1841461563. The last update date is 2010-07-15.
Glendive Eyecare's current location address is 115 W Valentine St, Glendive, Montana. You can contact this provider via phone number 4063658231 and fax number 4063657081. The mailing address for Glendive Eyecare is 115 W Valentine St, Glendive, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glendive Eyecare |
|---|---|
| Address | 115 W Valentine St, Glendive, Montana |
| Phone Number | 4063658231 |
| Fax Number | 4063657081 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jacobsen D Gary |
| Credentials | OD |
| Telephone Number | 4063658231 |
NPI Number Detail
| NPI Number | 1841461563 |
|---|---|
| Provider Enumeration Date | 2008-03-20 |
| Last Updated Date | 2010-07-15 |
Provider Mailing Address Detail
| Address | 115 W Valentine St |
|---|---|
| City | Glendive |
| State | Montana (MT) |
| Post Code | 593301666 |
| Phone Number | 4063658231 |
| Fax Number | 4063657081 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 453 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26520 | MT | BLUE CROSS BLUE SHIELD | |
| 11003935 | MEDICARE PTAN | ||
| 048-0350 | MT | -- | |
| 410008748 | MT | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Glendive Eyecare by the Centers for Medicare & Medicaid Services?
The Glendive Eyecare has been issued the NPI (National Provider Identifier) 1841461563 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Glendive Eyecare?
The Glendive Eyecare is situated at 115 W Valentine St, in the city of Glendive, state of MT, with the zip code 593301666.
What is the area of specialization for Glendive Eyecare, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glendive Eyecare is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841461563 to Glendive Eyecare?
The Centers for Medicare & Medicaid Services assigned the 1841461563 to Glendive Eyecare on 2008-03-20.
As of what date was the information regarding Glendive Eyecare, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glendive Eyecare, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-07-15.
NPI Number: 1457354839
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