Ada Vision Center P.A.

LBN: Ada Vision Center P.A.
Ada Vision Center P.A. is an health care organization with primary practice located at 1333 W Jefferson St , Boise ID 83702-5320. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Ada Vision Center P.A. can be contacted via phone (208) 336-2020, or through Noble, Todd Anthony via phone (208) 336-2020.

Contact Information

Primary practice address
1333 W Jefferson St Boise ID 83702-5320
Phone: (208) 336-2020
Fax: (208) 384-5677
Website:
Map and Directions
Authorized official contact:
Name: Noble, Todd Anthony Doctor of Optometry (OD)
Phone: (208) 336-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1407869589
LBN Legal business name Ada Vision Center P.A.
DBA Doing business as
Authorized official Noble, Todd Anthony Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 24th, 2009 - about 16 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 1407869589 NPPES
Idaho Other 000010138576 REGENCE BLUE SHIELD
Idaho Other V7042 REGENCE BLUE SHIELD
Idaho MEDICAID U80987 REGENCE BLUE SHIELD

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