Provider Demographics
NPI:1265588149
Name:SCHIFFELBEIN, STEVEN F (OD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:F
Last Name:SCHIFFELBEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6595 LONG LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NINE MILE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99026-9543
Mailing Address - Country:US
Mailing Address - Phone:509-435-2271
Mailing Address - Fax:
Practice Address - Street 1:7619 N DIVISION ST
Practice Address - Street 2:LOCATED INSIDE COSTCO
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5613
Practice Address - Country:US
Practice Address - Phone:509-444-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00001919152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB32560Medicare PIN
WAP00132644Medicare PIN
WAU20866Medicare UPIN
WA410048491Medicare PIN
WA2012631Medicaid