Dr. Dale Justin Stormogipson is a Coeur D Alene, Idaho based male Ophthalmologist who is specialized in Ophthalmology. Active license number of Dr. Dale Justin Stormogipson is M5936 for Ophthalmology in Idaho. Dr. Dale Justin Stormogipson is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Dale Justin Stormogipson 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:
Ophthalmology
Credentials:
M.D.
Gender:
Male
Practice Address:
1814 Lincoln Way, Coeur D Alene, Idaho, 83814-2540
Phone:
208-667-2531
Fax:
208-765-9385
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:
1336285345
NPI Enumeration Date:
29 Jan, 2007
NPI Last Update On:
06 Jul, 2010
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. Dale Justin Stormogipson are as mentioned below.
License Number
Specialization
State
Status
M5936
Ophthalmology
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Dale Justin Stormogipson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
002694100
Medicaid
Idaho
15180003516
Other
NORTH IDAHO CATARACT & LA
000010006023
Other
Idaho
REGENCE BLUE SHIELD OF ID
DX761
Other
Idaho
BLUE CROSS OF IDAHO
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1814 Lincoln Way, Coeur D Alene, Idaho
Zip:
83814-2540
Phone Number:
208-667-2531
Fax Number:
208-765-9385
Patients can reach Dr. Dale Justin Stormogipson at 1814 Lincoln Way, Coeur D Alene, Idaho or can call to book an appointment on 208-667-2531. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.