NPI 1275715757

Panhandle Eye Clinics Chartered

Organisation Eyewear Supplier St Maries, ID

Practice location

Address: 704 W College Ave, St Maries, ID 83861-1824
Phone: (208) 245-6563
Fax: (208) 245-6564

Authorised official

Name: Robert D Magwire
Title: Doctor/Owner
Phone: (208) 245-6563

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence ODD382 (ID)

Other Eyewear Supplier providers in Idaho →

Registry record

NPI: 1275715757
Entity type: Organization
NPI issued: 27 Nov 2007
Record last updated: 2 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.