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COEUR D ALENE OPTICAL INC. NPI 1093851081


NPI Information

NPI: 1093851081
Provider Name: COEUR D ALENE OPTICAL, INC.

Doing Business As: POST FALLS EYE CLINIC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1814 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-2531
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COEUR D ALENE OPTICAL, INC. is an eyewear supplier in Coeur D Alene, ID. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. COEUR D ALENE OPTICAL, INC. NPI is 1093851081. The provider is registered as an organization entity type.
The provider Is Doing Business As Post Falls Eye Clinic.

The provider's business location address is:

1814 LINCOLN WAY
COEUR D ALENE, ID
ZIP 83814-540
Phone: (208) 667-2531
Fax: (208) 765-9385

The provider's authorized official is Dede Karen Sines .
The authorized official title is Administrator and has the following contact phone number (208) 667-2531.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11511302MEDICARE PINIDAHO
2000010014269OTHERIDAHOREGENCE BLUE SHIELD OF ID
31590069MEDICARE NSCIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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