Maple Grove Eyecare Pc

LBN: Maple Grove Eyecare Pc
Maple Grove Eyecare Pc is an health care organization with primary practice located at 8955 W Hackamore Dr , Boise ID 83709. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Maple Grove Eyecare Pc can be contacted via phone (208) 344-7944, or through Neale, Matthew D via phone (541) 687-1715.

Contact Information

Primary practice address
8955 W Hackamore Dr Boise ID 83709
Phone: (208) 344-7944
Fax: (208) 343-4676
Website:
Map and Directions
Authorized official contact:
Name: Neale, Matthew D Doctor of Medicine (MD)
Phone: (541) 687-1715

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1124684485
LBN Legal business name Maple Grove Eyecare Pc
DBA Doing business as
Authorized official Neale, Matthew D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2019
Last updated May 13th, 2019 - about 6 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 1124684485 NPPES
Oregon MEDICAID 1184885345

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