Panhandle Eye Clinics Chartered, NPI 1275715757
Eyewear Supplier in St Maries, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1275715757
NPI Entity Type Organization
Provider Name Panhandle Eye Clinics Chartered
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 704 W College Ave, St Maries, ID, US
Provider Mailing Address 704 W College Ave, St Maries, ID, US, 838611824
Is Sole Proprietor? No
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Organization Official

Official Name DR. OD Robert D Magwire
Official Position DOCTOR/OWNER
Phone 208-245-6563

Primary Taxonomy

Taxonomy Code

332H00000X

Taxonomy Name Eyewear Supplier
Classification

Eyewear Supplier

Group

Suppliers

License No. ODD382
License State ID
Description An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

Panhandle Eye Clinics Chartered
704 W College Ave

St Maries, ID, US

Phone: 208-245-6563
Fax: 208-245-6564

Mailing Address

Panhandle Eye Clinics Chartered
704 W College Ave
St Maries, ID, US
ZIP 838611824
Phone: 208-245-6563
Fax: 208-245-6564

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
V0179 ID BLUE CROSS OF IDAHO 01
0000100159391 ID REGENCE BLUESHIELD 01
002692300 ID MEDICAID 05

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