Retina Specialists Of Idaho Partners, Pllc

LBN: Retina Specialists Of Idaho Partners, Pllc
Retina Specialists Of Idaho Partners, Pllc is an health care organization with primary practice located at 13923 W Wainwright Dr Suite 301, Boise ID 83713-1969. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Retina Specialists Of Idaho Partners, Pllc can be contacted via phone (208) 938-5624, or through Roberts, Denton R. via phone (208) 938-5624.

Contact Information

Primary practice address
13923 W Wainwright Dr Suite 301 Boise ID 83713-1969
Phone: (208) 938-5624
Fax: (208) 938-5764
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Denton R. Doctor of Medicine (MD)
Phone: (208) 938-5624

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1922425032
LBN Legal business name Retina Specialists Of Idaho Partners, Pllc
DBA Doing business as
Authorized official Roberts, Denton R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2014
Last updated Oct 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922425032 NPPES
Idaho MEDICAID 1699742395

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