Shelley Eyecare is a Optometrist Center in Shelley, Idaho. It is situated at 524 N State St, Shelley and its contact number is 208-357-5733. The authorized person of Shelley Eyecare is Dr. Kristan C Sparks
who is Optometrist of the clinic and their contact number is 208-357-5733. Primary license number for Shelley Eyecare is ODP 638 (Optometrist) in Idaho. Shelley Eyecare Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Shelley Eyecare Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
524 N State St, Shelley, Idaho, 83274-1154
Phone:
208-357-5733
Fax:
208-357-2240
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kristan C Sparks
Position:
Optometrist
Contact Number:
208-357-5733
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 for Shelley Eyecare Center are as mentioned below.
NPI Number:
1780784769
NPI Enumeration Date:
22 Sep, 2006
NPI Last Update On:
27 Apr, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelley Eyecare are as mentioned below.
Specialization
License Number
State
Status
Optometrist
ODP 638
Idaho
Primary
Optometrist
ODP 100034
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
806877400
Medicaid
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:
Shelley Eyecare 524 N State St, Shelley, Idaho
Zip:
83274-1154
Phone Number:
208-357-5733
Fax Number:
208-357-2240
Patients can reach Shelley Eyecare at 524 N State St, Shelley, Idaho or can call to book an appointment on 208-357-5733. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.