Artisan Pediatric Eyecare Llc

LBN: Artisan Pediatric Eyecare Llc
Artisan Pediatric Eyecare Llc is an health care organization with primary practice located at 7960 W Rifleman St Ste 110 , Boise ID 83704-9064. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Pediatrics is the primary health care specialty. Artisan Pediatric Eyecare Llc can be contacted via phone (208) 489-1477, or through Johnson, Jeffrey C via phone (208) 489-1477.

Contact Information

Primary practice address
7960 W Rifleman St Ste 110 Boise ID 83704-9064
Phone: (208) 489-1477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jeffrey C Doctor of Optometry (OD)
Phone: (208) 489-1477

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X
Eye and Vision Services Providers / Sports Vision 152WS0006X
Eye and Vision Services Providers / Vision Therapy 152WV0400X
Eye and Vision Services Providers / Occupational Vision 152WX0102X

Profile Details

NPI number 1487128823
LBN Legal business name Artisan Pediatric Eyecare Llc
DBA Doing business as
Authorized official Johnson, Jeffrey C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2019
Last updated Jan 18th, 2019 - about 5 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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