Sonntag Eye Associates

LBN: Vision Quest Medical Center, Pa
Sonntag Eye Associates is an health care organization with primary practice located at 3025 W Cherry Ln Suite 207, Meridian ID 83642-1125. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Vision Quest Medical Center, Pa can be contacted via phone (208) 898-1614, or through Mong, Jacob Adam via phone (208) 377-3937.

Contact Information

Primary practice address
3025 W Cherry Ln Suite 207 Meridian ID 83642-1125
Phone: (208) 898-1614
Fax: (208) 898-1618
Website:
Map and Directions
Authorized official contact:
Name: Mong, Jacob Adam Doctor of Osteopathy (DO)
Phone: (208) 377-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100002 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100417 Idaho
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X O-0860 Idaho

Profile Details

NPI number 1568664506
LBN Legal business name Vision Quest Medical Center, Pa
DBA Doing business as Sonntag Eye Associates
Authorized official Mong, Jacob Adam Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Oct 21st, 2021 - about 4 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 1568664506 NPPES
Idaho Other 46235 BLUE CROSS GROUP NO
Idaho MEDICAID 001553800 BLUE CROSS GROUP NO
Idaho MEDICAID 807072300 BLUE CROSS GROUP NO
Idaho MEDICAID 000160500 BLUE CROSS GROUP NO
Idaho MEDICAID 806834700 BLUE CROSS GROUP NO
Idaho MEDICAID 807072200 BLUE CROSS GROUP NO

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