Individual
DR. JOHN L CALDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1814 LINCOLN WAY, COEUR D ALENE, ID 83814-2540
(208) 667-2531
(208) 667-7730
Mailing address
1814 LINCOLN WAY, COEUR D ALENE, ID 83814-2540
(208) 667-2531
(208) 667-7730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD00003976
WA
152W00000X
Optometrist
Primary
ODP100067
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149990
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
000010149991
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
000010171389
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
196382
LABOR & INDUSTRIES
WA
05
—
2031565
—
WA
05
—
2031573
—
WA
05
—
807139300
—
ID
05
—
807139301
—
ID
01
—
8905514
CRIME VICTIMS
WA
01
—
OMXPR0072446
MOLINA HEALTHCARE
WA
01
—
V9030
BLUE CROSS OF IDAHO
ID
Enumeration date
10/26/2005
Last updated
08/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us