Healthcare Provider Details

I. General information

NPI: 1700251311
Provider Name (Legal Business Name): STEVEN F SCHIFFELBEIN OD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7619 N DIVISION ST LOCATED INSIDE COSTCO
SPOKANE WA
99208-5613
US

IV. Provider business mailing address

6595 LONG LAKE DR
NINE MILE FALLS WA
99026-9543
US

V. Phone/Fax

Practice location:
  • Phone: 509-444-0004
  • Fax:
Mailing address:
  • Phone: 509-435-2271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN F SCHIFFELBEIN
Title or Position: PRESIDENT
Credential: O.D.
Phone: 509-435-2271