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 ST, CHEWELAH, WA 99109
(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
152W00000X
Optometrist
Primary
OD00001225
WA
332B00000X
Durable Medical Equipment & Medical Supplies
OD00001225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035269
—
WA
01
—
DB5537
RAILROAD MEDICARE
WA
Enumeration date
01/02/2007
Last updated
12/17/2009
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