Adams, Douglas Wayne
Adams, Douglas Wayne is an individual health care provider with primary practice located at 1906 Fairview Ave , Caldwell ID 83605-5407. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Adams, Douglas Wayne can be contacted via phone (208) 459-2020.Contact Information
Primary practice address
1906 Fairview Ave
Caldwell ID 83605-5407
Phone: (208) 459-2020
Fax: (208) 459-2034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100406 | Idaho |
Profile Details
| NPI number | 1144750886 |
|---|---|
| LBN Legal business name | Adams, Douglas Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2017 |
| Last updated | Jun 16th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144750886 | NPPES |
| Idaho | Other | ODP100406 | OPTOMETRY LICENSE |
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