Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL A CANDREVA, OD
DeactivatedMICHAEL A CANDREVA, OD is a Optometrist healthcare provider located in FORT YATES, North Dakota. NPI 1346388915 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · FORT YATES, ND
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1346388915
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2007 (0.44931506849315 yrs)
- Last Updated
- Aug 17, 2018
- Deactivated
- Jul 17, 2007
- License
-
CO1796 (CO)
Practice Information
- Address
-
10 N RIVER ROADFORT YATES, ND, 58538Browse ND providers · Browse ZIP 58538
- Phone
- 7018548248
- Fax
- 7018547411
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.