Custom Vision Care Associates Pa

LBN: Custom Vision Care Associates Pa
Custom Vision Care Associates Pa is an health care organization with primary practice located at 1615 12Th Ave Rd Ste B , Nampa ID 83686-6184. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Custom Vision Care Associates Pa can be contacted via phone (208) 498-1700, or through Martinez, Jorge A via phone (208) 498-1700.

Contact Information

Primary practice address
1615 12Th Ave Rd Ste B Nampa ID 83686-6184
Phone: (208) 498-1700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Jorge A Doctor of Medicine (MD)
Phone: (208) 498-1700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1013212133
LBN Legal business name Custom Vision Care Associates Pa
DBA Doing business as
Authorized official Martinez, Jorge A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2011
Last updated Jan 20th, 2011 - about 15 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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