Total Vision Pa

LBN: Total Vision Pa
Total Vision Pa is an health care organization with primary practice located at 1702 S Kimball Ave , Caldwell ID 83605-4826. The organization recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Corneal and Contact Management is the primary health care specialty. Total Vision Pa can be contacted via phone (208) 459-2641, or through Shannon, Sheree C via phone (208) 459-2641.

Contact Information

Primary practice address
1702 S Kimball Ave Caldwell ID 83605-4826
Phone: (208) 459-2641
Fax: (208) 459-2895
Website:
Map and Directions
Authorized official contact:
Name: Shannon, Sheree C
Phone: (208) 459-2641

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-579 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X ODP100163 Idaho
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X ODP-579 Idaho
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X ODP100163 Idaho
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X ODP100163 Idaho
Eye and Vision Services Providers / Pediatrics 152WP0200X ODP-579 Idaho
Eye and Vision Services Providers / Pediatrics 152WP0200X ODP100163 Idaho
Eye and Vision Services Providers / Sports Vision 152WS0006X ODP100163 Idaho
Eye and Vision Services Providers / Occupational Vision 152WX0102X ODP100163 Idaho

Profile Details

NPI number 1447328463
LBN Legal business name Total Vision Pa
DBA Doing business as
Authorized official Shannon, Sheree C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 28th, 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 1447328463 NPPES
Idaho MEDICAID 807869000
Idaho Other V9055

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