Archibald, Alexander C

Archibald, Alexander C is an individual health care provider with primary practice located at 2822 S Vista Ave , Boise ID 83705-4159. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Archibald, Alexander C can be contacted via phone (208) 385-7576.

Contact Information

Primary practice address
2822 S Vista Ave Boise ID 83705-4159
Phone: (208) 385-7576
Fax: (208) 385-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100138 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X OPT597 New Mexico
Eye and Vision Services Providers / Optometrist 152W00000X OPT-OPT-LIC-783 Montana
Eye and Vision Services Providers / Optometrist 152W00000X 783 Montana
Eye and Vision Services Providers / Optometrist 152W00000X OD00004125 Washington

Profile Details

NPI number 1336205632
LBN Legal business name Archibald, Alexander C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Nov 13th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336205632 NPPES
Washington Other P00381019 RAIL ROAD MEDICARE

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