Panhandle Eye Clinics Chartered

LBN: Panhandle Eye Clinics Chartered
Panhandle Eye Clinics Chartered is an health care organization with primary practice located at 704 W College Ave , St Maries ID 83861-1824. 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. Panhandle Eye Clinics Chartered can be contacted via phone (208) 245-6563, or through Magwire, Robert D via phone (208) 245-6563.

Contact Information

Primary practice address
704 W College Ave St Maries ID 83861-1824
Fax: (208) 245-6564
Website:
Authorized official contact:
Name: Magwire, Robert D Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X ODD382 Idaho

Profile Details

NPI number 1275715757
LBN Legal business name Panhandle Eye Clinics Chartered
DBA Doing business as
Authorized official Magwire, Robert D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Jul 2nd, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275715757 NPPES
Idaho Other V0179 BLUE CROSS OF IDAHO
Idaho Other 0000100159391 BLUE CROSS OF IDAHO
Idaho MEDICAID 002692300 BLUE CROSS OF IDAHO

Popular Providers