Dr. Kent M. Archibald is a Rexburg, Idaho based male Optometrist who is specialized in Optometry. Active license number of Dr. Kent M. Archibald is ODP-513 for Optometry in Idaho. Dr. Kent M. Archibald examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kent M. Archibald speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
76 Professional Plz, Rexburg, Idaho, 83440-2047
Phone:
208-356-4585
Fax:
208-356-4587
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1851336721
NPI Enumeration Date:
17 Jun, 2006
NPI Last Update On:
21 May, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kent M. Archibald are as mentioned below.
License Number
Specialization
State
Status
ODP-513
Optometry
Idaho
Primary
ODP-513
Optometry - Corneal and Contact Management
Idaho
Secondary
ODP-513
Optometry - Low Vision Rehabilitation
Idaho
Secondary
ODP-513
Optometry - Pediatrics
Idaho
Secondary
ODP-513
Optometry - Sports Vision
Idaho
Secondary
ODP-513
Optometry - Vision Therapy
Idaho
Secondary
ODP-513
Optometry - Occupational Vision
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kent M. Archibald such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
410007525
Other
Idaho
RAIL ROAD
V109-4
Other
Idaho
BLUE CROSS
00010015323
Other
Idaho
BLUE SHIELD
82-0383776
Other
Idaho
DMBA
002457600
Medicaid
Idaho
ODP-513
Other
Idaho
IDAHO OPTOMETRY LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
76 Professional Plz, Rexburg, Idaho
Zip:
83440-2047
Phone Number:
208-356-4585
Fax Number:
208-356-4587
Patients can reach Dr. Kent M. Archibald at 76 Professional Plz, Rexburg, Idaho or can call to book an appointment on 208-356-4585. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.