Organization Name: | PANHANDLE EYE CLINICS CHARTERED |
NPI Number: | 1275715757 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT D MAGWIRE (DOCTOR/OWNER) |
Mailing Address: | 704 W College Ave St Maries |
State: | ID US |
Postal Code: | 838611824 |
Phone Number: | 2082456563 |
Fax Number: | 2082456564 |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 07/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | ODD382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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. |