Advanced Vision Therapy Center Llc

LBN: Advanced Vision Therapy Center Llc
Advanced Vision Therapy Center Llc is an health care organization with primary practice located at 7960 W Rifleman St Suite 150, Boise ID 83704-9064. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is the primary health care specialty. Advanced Vision Therapy Center Llc can be contacted via phone (208) 377-1310, or through Johnson, Kendall via phone (208) 377-1310.

Contact Information

Primary practice address
7960 W Rifleman St Suite 150 Boise ID 83704-9064
Phone: (208) 377-1310
Fax: (208) 321-1952
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kendall
Phone: (208) 377-1310

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Sports Vision 152WS0006X
Eye and Vision Services Providers / Vision Therapy 152WV0400X

Profile Details

NPI number 1669808846
LBN Legal business name Advanced Vision Therapy Center Llc
DBA Doing business as
Authorized official Johnson, Kendall
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2013
Last updated Sep 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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