Organization
LAKESIDE EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LLOYD CALDERWOOD O.D. (OWNER)
(208) 676-1422
Entity
Organization
Contact information
Practice address
312 N 4TH ST, COEUR D ALENE, ID 83814-2812
(208) 676-1422
(208) 667-7730
Mailing address
312 N 4TH ST, COEUR D ALENE, ID 83814-2812
(208) 676-1422
(208) 667-7730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100067
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807139300
—
ID
Enumeration date
04/15/2009
Last updated
02/05/2010
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