Bonneville Vision, Pllc

LBN: Bonneville Vision, Pllc
Bonneville Vision, Pllc is an health care organization with primary practice located at 838 S Woodruff Ave , Idaho Falls ID 83401-5296. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bonneville Vision, Pllc can be contacted via phone (208) 523-3937, or through Housley, Nathan via phone (208) 523-3937.

Contact Information

Primary practice address
838 S Woodruff Ave Idaho Falls ID 83401-5296
Phone: (208) 523-3937
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Housley, Nathan Doctor of Optometry (OD)
Phone: (208) 523-3937

Health care specialties

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

Profile Details

NPI number 1093367971
LBN Legal business name Bonneville Vision, Pllc
DBA Doing business as
Authorized official Housley, Nathan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 7 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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