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Contact Information

EYE CLINIC OF SANDPOINT PA
307 S 1ST AVE
SANDPOINT, ID83864
 Phone: 208-263-8501
 Fax: 208-263-9713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EYE CLINIC OF SANDPOINT PA · (Female)

NPI Number 1215945431
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2006
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 1215945431
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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