Eye Clinic Of Idaho Falls,Pa

LBN: Eye Clinic Of Idaho Falls,Pa
Eye Clinic Of Idaho Falls,Pa is an health care organization with primary practice located at 530 S Holmes Ave , Idaho Falls ID 83401-4751. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eye Clinic Of Idaho Falls,Pa can be contacted via phone (208) 529-3937, or through Anderson, David R via phone (208) 529-3937.

Contact Information

Primary practice address
530 S Holmes Ave Idaho Falls ID 83401-4751
Phone: (208) 529-3937
Fax: (208) 524-4380
Website:
Map and Directions
Authorized official contact:
Name: Anderson, David R Doctor of Medicine (MD)
Phone: (208) 529-3937

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M3793 Idaho

Profile Details

NPI number 1093911133
LBN Legal business name Eye Clinic Of Idaho Falls,Pa
DBA Doing business as
Authorized official Anderson, David R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Sep 15th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093911133 NPPES
Idaho MEDICAID 00240930
Idaho Other 1205974136
Idaho MEDICAID 003572200

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