| Pend Oreille Vision Care | |
|
514 Oak St Ste A Sandpoint ID 83864-1480 | |
| (208) 265-7965 | |
| (208) 265-7905 |
| Full Name | Pend Oreille Vision Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 514 Oak St Ste A, Sandpoint, Idaho |
| Authorized Official Name and Position | Nathaneal Harrell (OWNER/PRESIDENT) |
| Authorized Official Contact | 2082657965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pend Oreille Vision Care 514 Oak St Unit A Sandpoint ID 83864-1480 Ph: (208) 265-7965 | Pend Oreille Vision Care 514 Oak St Ste A Sandpoint ID 83864-1480 Ph: (208) 265-7965 |
| NPI Number | 1871849059 |
|---|---|
| Provider Enumeration Date | 07/25/2012 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 6002062833 |
|---|---|
| Medicare Enrollment ID | O20120810000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871849059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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