Optometric Center, P.A.
LBN: Tree City Eyecare Pllc
Optometric Center, P.A. is an health care organization with primary practice located at 700 N Raymond St , Boise ID 83704-9261. The organization recently has 2 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 / Optometrist is the primary health care specialty.
Tree City Eyecare Pllc can be contacted via phone (208) 375-3871, or through Dixon, Jaimen via phone (208) 375-3871.
Contact Information
Primary practice address
700 N Raymond St
Boise ID 83704-9261
Phone: (208) 375-3871
Fax: (208) 321-1765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X |
Profile Details
| NPI number | 1598940421 |
|---|---|
| LBN Legal business name | Tree City Eyecare Pllc |
| DBA Doing business as | Optometric Center, P.A. |
| Authorized official | Dixon, Jaimen Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2008 |
| Last updated | Aug 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598940421 | NPPES |
| Idaho | Other | 20015736 | MEDICARE ID |
| Idaho | MEDICAID | 15989404214 | MEDICARE ID |
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