Eyecare Associates Of Eastgate Pa

LBN: Eyecare Associates Of Eastgate Pa
Eyecare Associates Of Eastgate Pa is an health care organization with primary practice located at 939 W. Beacon St , Boise ID 83706-5118. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Eyecare Associates Of Eastgate Pa can be contacted via phone (208) 344-8758, or through Winbigler, Angela via phone (208) 344-8758.

Contact Information

Primary practice address
939 W. Beacon St Boise ID 83706-5118
Phone: (208) 344-8758
Fax: (208) 331-3379
Website:
Map and Directions
Authorized official contact:
Name: Winbigler, Angela
Phone: (208) 344-8758

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X ODP-718 Idaho

Profile Details

NPI number 1265589048
LBN Legal business name Eyecare Associates Of Eastgate Pa
DBA Doing business as
Authorized official Winbigler, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Nov 29th, 2011 - about 14 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 1265589048 NPPES
Idaho MEDICAID 002622500
Idaho Other V6622
Idaho Other 000010015349

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