Clearview Family Eyecare Pllc
LBN: Clearview Family Eyecare Pllc
Clearview Family Eyecare Pllc is an health care organization with primary practice located at 11513 W Fairview Ave Suite 106, Boise ID 83713-7886. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Clearview Family Eyecare Pllc can be contacted via phone (208) 322-8439, or through Nicholson, Charles R via phone (208) 322-8439.
Contact Information
Primary practice address
11513 W Fairview Ave Suite 106
Boise ID 83713-7886
Phone: (208) 322-8439
Fax: (208) 322-8430
Website:
Authorized official contact:
Name: Nicholson, Charles R Doctor of Optometry (OD)
Phone: (208) 322-8439
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100134 | Idaho |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100135 | Idaho |
Profile Details
| NPI number | 1336359694 |
|---|---|
| LBN Legal business name | Clearview Family Eyecare Pllc |
| DBA Doing business as | |
| Authorized official | Nicholson, Charles R Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jan 26th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336359694 | NPPES |
| Idaho | Other | 000010162495 | REGENCE BLUE SHIELD |
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