Advanced Eyecare
LBN: Daniel L Tiller Pa
Advanced Eyecare is an health care organization with primary practice located at 901 12Th Ave S , Nampa ID 83651-4658. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Daniel L Tiller Pa can be contacted via phone (208) 466-9251, or through White, Rodney L via phone (208) 466-9251.
Contact Information
Primary practice address
901 12Th Ave S
Nampa ID 83651-4658
Phone: (208) 466-9251
Fax: (208) 463-1714
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | Idaho |
Profile Details
NPI number | 1861485989 |
---|---|
LBN Legal business name | Daniel L Tiller Pa |
DBA Doing business as | Advanced Eyecare |
Authorized official | White, Rodney L Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 24th, 2005 |
Last updated | Jan 14th, 2010 - about 15 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 | 1861485989 | NPPES |
Idaho | MEDICAID | 807007400 | |
Idaho | Other | V213-4 |
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