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

Panhandle Eye Clinics Chartered is a Eyewear Supplier based in St Maries, ID. Panhandle Eye Clinics Chartered practices in St Maries, ID. The NPI Number for Panhandle Eye Clinics Chartered is 1275715757 and holds a License No. ODD382 (Idaho).

The current practice location address for Panhandle Eye Clinics Chartered is 704 W College Ave, St Maries, ID and can be reached out via phone at 208-245-6563 and via fax at 208-245-6564.

Location: 704 W College Ave, St Maries, ID, 83861-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275715757
Provider Name
Panhandle Eye Clinics Chartered
Credential
Provider Entity Type
Organization
Address
704 W College Ave, St Maries, ID, 83861-1824
Phone Number
208-245-6563
Fax Number
208-245-6564
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V0179 01 ID BLUE CROSS OF IDAHO
0000100159391 01 ID REGENCE BLUESHIELD
002692300 05 ID
institution
Provider Business Practice Location Address Details
Address
704 W College Ave
City
St Maries
State
Idaho
Zip
83861-1824
Phone Number
208-245-6563
Fax Number
208-245-6564
person
Provider Business Mailing Address Details
Address
704 W College Ave
City
St Maries
State
Idaho
Zip
83861-1824
Phone Number
208-245-6563
Fax Number
208-245-6564
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
ODD382 (Idaho)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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