DR. OD Chris Deitrick, NPI 1669470183
Corneal and Contact Management Optometrist in Mountain View, AR, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Corneal and Contact Management Optometrist |
| Classification | |
| Group | |
| 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. |
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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