Clearwater Valley Optical

LBN: Clearwater Valley Optical
Clearwater Valley Optical is an health care organization with primary practice located at 2214 Vineyard Ave , Lewiston ID 83501-6352. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Clearwater Valley Optical can be contacted via phone (208) 743-2241, or through Baldeck, Eugene M via phone (208) 743-2241.

Contact Information

Primary practice address
2214 Vineyard Ave Lewiston ID 83501-6352
Phone: (208) 743-2241
Fax: (208) 743-5871
Website:
Map and Directions
Authorized official contact:
Name: Baldeck, Eugene M Doctor of Medicine (MD)
Phone: (208) 743-2241

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-2629 Idaho

Profile Details

NPI number 1457544306
LBN Legal business name Clearwater Valley Optical
DBA Doing business as
Authorized official Baldeck, Eugene M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2007
Last updated Aug 23rd, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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