Dr. Steven G Iwasa
Optometrist
36 W Court St
Weiser
, Idaho 83672-1941
Dr. Steven G Iwasa
Optometrist
36 W Court St
Weiser
, Idaho 83672-1941
(208) 414-1607
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Steven G Iwasa
- 36 W Court St
- Weiser, ID
- Zip : 83672-1941
- Fax : (208) 414-1607
- Phone : (208) 414-1600
Second Address
- Dr. Steven G Iwasa
- 36 W Court St
- Weiser, ID
- Zip : 83672-1941
- Fax : (208) 414-1607
- Phone : (208) 414-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODD-649 | ID |
National Provider Identifier
| NPI | 1003985466 |
|---|---|
| Provider Name | Dr. Steven G Iwasa |
| First Address | Weiser, ID 83672-1941 |
| Second Address | Weiser, ID 83672-1941 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T44379 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.