DR. OD Chris Deitrick, NPI 1669470183
Corneal and Contact Management Optometrist in Mountain View, AR, 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 1669470183
NPI Entity Type Individual
Provider Name DR. OD Chris Deitrick
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 202 Peabody, Mountain View, AR, US
Provider Mailing Address Po Box 1460, Mountain View, AR, US, 725601460
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

152WC0802X

Taxonomy Name Corneal and Contact Management Optometrist
Classification

Optometrist

Group

Eye and Vision Services Providers

License No. 2516
License State AR
Description The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Business Address

DR. OD Chris Deitrick
202 Peabody

Mountain View, AR, US

Phone: 870-269-3610
Fax: 870-269-5086

Mailing Address

DR. OD Chris Deitrick
Po Box 1460
Mountain View, AR, US
ZIP 725601460
Phone: 870-269-3610
Fax: 870-269-5086

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
410049416 AR MEDICARE RR ID# 01
431988740 AR TAX ID # 01
4709560001 AR MEDICARE DMEPOS ID # 01
19930000041 AR QUALCHOICE ID # 01
145299722 AR MEDICAID 05

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NPI Name Taxonomy Address

1891181475

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Organization

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PA-C, EM-CAQ Chelsey Lee Burton

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PHARM D Natalie Denise Underwood

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Kennedy Coker

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LCSW Jessica Kennington

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Paige N Cromwell

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MD Ronald D. Schlabach

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Organization

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Organization

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OTR Delaney Willibey

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Vine And Root Llc

Organization

Mental Health Counselor

120 Meghan Ln

Judsonia, AR

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