Eye Clinic Of Sandpoint Pa
LBN: Eye Clinic Of Sandpoint Pa
Eye Clinic Of Sandpoint Pa is an health care organization with primary practice located at 307 S 1St Ave , Sandpoint ID 83864. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Eye Clinic Of Sandpoint Pa can be contacted via phone (208) 263-8501, or through Petersen, Jason M via phone (208) 263-8501.
Contact Information
Primary practice address
307 S 1St Ave
Sandpoint ID 83864
Phone: (208) 263-8501
Fax: (208) 263-9713
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
NPI number | 1215945431 |
---|---|
LBN Legal business name | Eye Clinic Of Sandpoint Pa |
DBA Doing business as | |
Authorized official | Petersen, Jason M Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 3rd, 2006 |
Last updated | Jun 19th, 2018 - about 7 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 | 1215945431 | NPPES |
Idaho | MEDICAID | 1215945431 |
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