Organization
PANHANDLE EYE CLINICS CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D MAGWIRE OD (DOCTOR/OWNER)
(208) 245-6563
Entity
Organization
Contact information
Practice address
704 W COLLEGE AVE, ST MARIES, ID 83861-1824
(208) 245-6563
(208) 245-6564
Mailing address
704 W COLLEGE AVE, ST MARIES, ID 83861-1824
(208) 245-6563
(208) 245-6564
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ODD382
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000100159391
REGENCE BLUESHIELD
ID
05
—
002692300
—
ID
01
—
V0179
BLUE CROSS OF IDAHO
ID
Enumeration date
11/27/2007
Last updated
07/02/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up