Vester, Dick L

Vester, Dick L is an individual health care provider with primary practice located at 425 Pine St , Wallace ID 83873-2256. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vester, Dick L can be contacted via phone (208) 752-2020.

Contact Information

Primary practice address
425 Pine St Wallace ID 83873-2256
Phone: (208) 752-2020
Fax: (208) 556-7971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0640 Idaho

Profile Details

NPI number 1700802840
LBN Legal business name Vester, Dick L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 12th, 2009 - about 17 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 1700802840 NPPES
Idaho MEDICAID 000783200

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