DONNETA MCCANDLESS OPTICIAN NPI 1679563357

NPI Information

NPI: 1679563357
Provider Name: DONNETA MCCANDLESS, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
1403 ANDREA ST
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 651-2181
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Donneta Mccandless, OPTICIAN is an optician technician technologist in Bowling Green, KY. Donneta Mccandless, OPTICIAN NPI is 1679563357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1403 ANDREA ST
BOWLING GREEN, KY
ZIP 42104-335
Phone: (270) 651-2181
Fax: (270) 651-2183

The enumeration date for this NPI number is 10/25/2005 and was last updated on 5/12/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	1016	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1016	OTHER	KENTUCKY	OPTICIAN LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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