Organization Name: | WILLIAM C. GIMNESS, O.D., P.S. |
NPI Number: | 1205955796 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM CHARLES GIMNESS (DIRECTOR) |
Mailing Address: | 306 N. Park Street Chewelah |
State: | WA US |
Postal Code: | 991090836 |
Phone Number: | 5099352020 |
Fax Number: | 5099356795 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |