Organization
WILLIAM C. GIMNESS, O.D., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES GIMNESS O.D. (DIRECTOR)
(509) 935-2020
Entity
Organization
Contact information
Practice address
306 N. PARK STREET, CHEWELAH, WA 99109-0836
(509) 935-2020
(509) 935-6795
Mailing address
PO BOX 836, CHEWELAH, WA 99109-0836
(509) 935-2020
(509) 935-6795
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4665600001
DME NUMBER
WA
Enumeration date
03/28/2007
Last updated
08/22/2020
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