Bingham Family Vision, Llc

LBN: Bingham Family Vision, Llc
Bingham Family Vision, Llc is an health care organization with primary practice located at 715 W Judicial St , Blackfoot ID 83221-2036. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bingham Family Vision, Llc can be contacted via phone (208) 785-2210, or through Crandall, Brooke via phone (208) 785-2210.

Contact Information

Primary practice address
715 W Judicial St Blackfoot ID 83221-2036
Phone: (208) 785-2210
Fax: (208) 785-2216
Website:
Map and Directions
Authorized official contact:
Name: Crandall, Brooke
Phone: (208) 785-2210

Health care specialties

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

Profile Details

NPI number 1336624030
LBN Legal business name Bingham Family Vision, Llc
DBA Doing business as
Authorized official Crandall, Brooke
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2018
Last updated Sep 27th, 2018 - about 8 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 1336624030 NPPES
Idaho MEDICAID 1215120696

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