DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR WENDELL R FACKRELL PLLC

Active Organization

DR WENDELL R FACKRELL PLLC is a Optometrist organization located in CHUBBUCK, Idaho. NPI 1801171293 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CHUBBUCK, ID

Registration Details

NPI Number
1801171293
Provider Type
Organization
NPI Issued
Oct 17, 2011 (14.84617569503 yrs)
Last Updated
Oct 17, 2011

Practice Information

Address
4145 YELLOWSTONE AVE
CHUBBUCK, ID, 832022421
Browse ID providers · Browse ZIP 83202
Phone
8017225380
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in CHUBBUCK, ID

Name NPI
BAIRD OPTICAL PC 1013206275
RSJOHNSON OD PLLC 1760052401
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.