Ian Matthew Cheslock
Optometrist
950 11th Ave
Longview
, Washington 98632-2504
Ian Matthew Cheslock
Optometrist
950 11th Ave
Longview
, Washington 98632-2504
(360) 425-0735
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Ian Matthew Cheslock
- 950 11th Ave
- Longview, WA
- Zip : 98632-2504
- Fax : (360) 425-0735
- Phone : (360) 577-1500
Second Address
- Ian Matthew Cheslock
- 950 11th Ave
- Longview, WA
- Zip : 98632-2504
- Fax : (360) 425-0735
- Phone : (360) 577-1500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 61169322 | WA |
National Provider Identifier
| NPI | 1003580762 |
|---|---|
| Provider Name | Ian Matthew Cheslock |
| First Address | Longview, WA 98632-2504 |
| Second Address | Longview, WA 98632-2504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2021 |
| Last Update Date | 05/08/2021 |
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.