Canyon Crest Eye Phys

LBN: Michael K Taylor, Md, & Jason T Halverson, Md, Pllc
Canyon Crest Eye Phys is an health care organization with primary practice located at 261 Canyon Crest Dr Ste 100 , Twin Falls ID 83301-5924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Michael K Taylor, Md, & Jason T Halverson, Md, Pllc can be contacted via phone (208) 733-5300, or through Halverson, Jason T via phone (208) 733-5300.

Contact Information

Primary practice address
261 Canyon Crest Dr Ste 100 Twin Falls ID 83301-5924
Phone: (208) 733-5300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Halverson, Jason T Doctor of Medicine (MD)
Phone: (208) 733-5300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1164455259
LBN Legal business name Michael K Taylor, Md, & Jason T Halverson, Md, Pllc
DBA Doing business as Canyon Crest Eye Phys
Authorized official Halverson, Jason T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Apr 24th, 2023 - about last year

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 1164455259 NPPES
Idaho MEDICAID 805175600

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