1013585090 NPI number — DR. CYRIL ARCHAMBAULT MD

Table of content: DR. CYRIL ARCHAMBAULT MD (NPI 1013585090)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013585090 NPI number — DR. CYRIL ARCHAMBAULT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARCHAMBAULT
Provider First Name:
CYRIL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013585090
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1950 RUE DE CHAMPLAIN
Provider Second Line Business Mailing Address:
APARTMENT 309
Provider Business Mailing Address City Name:
MONTREAL
Provider Business Mailing Address State Name:
QUEBEC
Provider Business Mailing Address Postal Code:
H2L 2S8
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BYERS EYE INSTITUTE
Provider Second Line Business Practice Location Address:
2452 WATSON COURT
Provider Business Practice Location Address City Name:
PALO ALTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-725-1397
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)