Paul V Hakes Od Inc

LBN: Paul V Hakes Od Inc
Paul V Hakes Od Inc is an health care organization with primary practice located at 204 Lenora St , Mccall ID 83638. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Paul V Hakes Od Inc can be contacted via phone (208) 634-2232, or through Hakes, Paul V via phone (208) 634-2232.

Contact Information

Primary practice address
204 Lenora St Mccall ID 83638
Fax: (208) 634-4716
Website:
Authorized official contact:
Name: Hakes, Paul V Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04761969 Idaho

Profile Details

NPI number 1437138203
LBN Legal business name Paul V Hakes Od Inc
DBA Doing business as
Authorized official Hakes, Paul V Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 20th, 2010 - about 14 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 1437138203 NPPES
Other 000010015318 REGENCE BLUE SHIELD
Other V0278 REGENCE BLUE SHIELD
MEDICAID 002804100 REGENCE BLUE SHIELD

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