Ian Matthew Cheslock

Optometrist · Longview, WA

Individual Active NPI

NPI number 1003580762

Practice location

950 11TH Ave
Longview, WA 98632-2504
Phone
(360) 577-1500
Fax
(360) 425-0735

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NPI record

NPI
1003580762
Entity type
Individual (Type 1)
Enumeration date
August 5, 2021
Last updated
August 5, 2021
Certified
August 5, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 61169322 WA

About Ian Cheslock

Ian Matthew Cheslock is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 950 11TH Ave, Longview, WA 98632-2504. The NPI number 1003580762 was assigned on August 5, 2021 and the record was last updated on August 5, 2021.

Ian Cheslock lists a license in the registry: #61169322 (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ian Matthew Cheslock?

The NPI number is 1003580762.

What is the phone number of Ian Cheslock?

The phone number listed for the practice location is (360) 577-1500.

Where is Ian Cheslock located?

950 11TH Ave, Longview, WA 98632-2504.

What is the taxonomy code for Ian Cheslock?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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