Hurley, Jason Neil
Hurley, Jason Neil is an sole proprietor health care provider with primary practice located at 527 Rigby Lake Dr Suite C, Rigby ID 83442-1271. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hurley, Jason Neil can be contacted via phone (208) 745-0181.Contact Information
Primary practice address
527 Rigby Lake Dr Suite C
Rigby ID 83442-1271
Phone: (208) 745-0181
Fax: (208) 745-1121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100063 | Idaho |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ODP-100063 | Idaho |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ODP-100063 | Idaho |
Profile Details
| NPI number | 1801859889 |
|---|---|
| LBN Legal business name | Hurley, Jason Neil |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | May 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801859889 | NPPES |
| Idaho | Other | DC5197 | RAILROAD MEDICARE |
| Idaho | Other | V6531 | RAILROAD MEDICARE |
| Idaho | Other | 000010147608 | RAILROAD MEDICARE |
| Idaho | MEDICAID | 806929900 | RAILROAD MEDICARE |
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