Provider Demographics
NPI:1396524294
Name:BIANCARDI EYES, LLC
Entity type:Organization
Organization Name:BIANCARDI EYES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BIANCARDI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-936-3258
Mailing Address - Street 1:9806 N SUNDANCE DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9310
Mailing Address - Country:US
Mailing Address - Phone:509-936-3258
Mailing Address - Fax:
Practice Address - Street 1:306 N PARK ST
Practice Address - Street 2:
Practice Address - City:CHEWELAH
Practice Address - State:WA
Practice Address - Zip Code:99109-8971
Practice Address - Country:US
Practice Address - Phone:509-936-3258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty