Organization
COEUR DALENE VISION SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND KARL GREENE OD (OPTOMETRIST)
(208) 765-2020
Entity
Organization
Contact information
Practice address
3879 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8362
(208) 765-2020
(208) 765-1460
Mailing address
3879 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8362
(208) 765-2020
(208) 765-1460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP845
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807085000
—
ID
Enumeration date
03/22/2007
Last updated
06/19/2023
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