National Provider Identifier Database

EYE CLINIC OF SANDPOINT PA
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


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
* Ophthalmology 207W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for EYE CLINIC OF SANDPOINT PA

NPI Number 1215945431
Legal business name
LBN
EYE CLINIC OF SANDPOINT PA
Authorized official JASON PETERSEN - (PHYSICIAN-OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/03/2006
Last updated 06/19/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 1215945431

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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