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Organization

POST FALLS VISION CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELWIN W. SCHUTT O.D. (OPTOMETRIST/OWNER)
(208) 773-7434
Entity
Organization

Contact information

Practice address
2525 E SELTICE WAY, POST FALLS, ID 83854-5089
(208) 773-7434
(208) 777-0836
Mailing address
2525 E SELTICE WAY, PO BOX 997, POST FALLS, ID 83854-5089
(208) 773-7434
(208) 777-0836

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-499
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0430240001
MEDICARE DMERC
ID
01
V7321
BLUE CROSS OF IDAHO
ID
Enumeration date
10/25/2006
Last updated
08/14/2007
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