Ada County Eyecare, P.C.

LBN: Ada County Eyecare, P.C.
Ada County Eyecare, P.C. is an health care organization with primary practice located at 2069 E Feldspar Ct , Boise ID 83712-8456. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Ada County Eyecare, P.C. can be contacted via phone (208) 869-1965, or through Polatis, Steven M. via phone (208) 869-1965.

Contact Information

Primary practice address
2069 E Feldspar Ct Boise ID 83712-8456
Phone: (208) 869-1965
Fax: (208) 345-1137
Website:
Map and Directions
Authorized official contact:
Name: Polatis, Steven M. Doctor of Optometry (OD)
Phone: (208) 869-1965

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X ODP-900 Idaho

Profile Details

NPI number 1619185485
LBN Legal business name Ada County Eyecare, P.C.
DBA Doing business as
Authorized official Polatis, Steven M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Mar 7th, 2023 - about 3 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 1619185485 NPPES
Idaho MEDICAID 804046000

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