Clearview Eye Clinic Ltd | |
2500 W A St, Suite 202, Moscow, ID 83843-6000 | |
(208) 882-4662 | |
(208) 883-6557 |
Full Name | Clearview Eye Clinic Ltd |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2500 W A St, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407915325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP100095 (Idaho) | Secondary |
207W00000X | Ophthalmology | M8044 (Idaho) | Primary |
Provider Name | Brenda L Offerdahl |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932154341 PECOS PAC ID: 2062455280 Enrollment ID: I20050608000221 |
Provider Name | David B Leach |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043379944 PECOS PAC ID: 6406897222 Enrollment ID: I20070920000435 |
Provider Name | Katherine M.s. Gleason |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720227010 PECOS PAC ID: 4981756129 Enrollment ID: I20090717000596 |
Provider Name | Julia W Cheng |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1013359546 PECOS PAC ID: 9931333291 Enrollment ID: I20130930000247 |
Provider Name | Shawn C Richards |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1598929796 PECOS PAC ID: 2365613593 Enrollment ID: I20140918000019 |
Provider Name | David W Wood |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1518346816 PECOS PAC ID: 1951614585 Enrollment ID: I20151110002444 |
Provider Name | Katie E White |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1134612823 PECOS PAC ID: 6002150943 Enrollment ID: I20181204003351 |
Mailing Address | Practice Location Address |
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Clearview Eye Clinic Ltd 2500 W A St, Suite 202, Moscow, ID 83843-6000 Ph: (208) 882-4662 | Clearview Eye Clinic Ltd 2500 W A St, Suite 202, Moscow, ID 83843-6000 Ph: (208) 882-4662 |