Dr Wendell R Fackrell PLLC
Dr Wendell R Fackrell PLLC is an Optometrist in Chubbuck, Idaho. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4145 Yellowstone AveChubbuck, ID 83202-2421
Phone: (801) 722-5380
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X |
|---|
Record details
| NPI number | 1801171293 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendell Fackrell — Optometrist, Owner · (801) 722-5380 |
| NPI enumerated | October 17, 2011 |
| Last updated in NPPES | October 17, 2011 |
| Mailing address | 4145 Yellowstone Ave, Chubbuck, ID 83202-2421 |
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