Idaho Vision Development Center Pllc

LBN: Idaho Vision Development Center Pllc
Idaho Vision Development Center Pllc is an health care organization with primary practice located at 1536 Midway Dr , Ammon ID 83406-6912. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. Idaho Vision Development Center Pllc can be contacted via phone (208) 227-8822, or through Nielson, Daniel via phone (208) 227-8822.

Contact Information

Primary practice address
1536 Midway Dr Ammon ID 83406-6912
Fax: (208) 227-8966
Website:
Authorized official contact:
Name: Nielson, Daniel Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X

Profile Details

NPI number 1952963399
LBN Legal business name Idaho Vision Development Center Pllc
DBA Doing business as
Authorized official Nielson, Daniel Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2019
Last updated Jul 6th, 2019 - about 5 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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