Vision Specialties
LBN: David M. Ward, Jr., Od, Pa
Vision Specialties is an health care organization with primary practice located at 1205 S Five Mile Rd , Boise ID 83709-1304. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
David M. Ward, Jr., Od, Pa can be contacted via phone (208) 322-8381, or through Clark, Chad H via phone (208) 322-8381.
Contact Information
Primary practice address
1205 S Five Mile Rd
Boise ID 83709-1304
Phone: (208) 322-8381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-682 | Idaho |
| Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
| NPI number | 1598825416 |
|---|---|
| LBN Legal business name | David M. Ward, Jr., Od, Pa |
| DBA Doing business as | Vision Specialties |
| Authorized official | Clark, Chad H Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Oct 7th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598825416 | NPPES |
| Idaho | Other | 000010015463 | BLUE SHIELD |
| Idaho | Other | 6055070001 | BLUE SHIELD |
| Idaho | Other | V5269 | BLUE SHIELD |
| Idaho | MEDICAID | 806420300 | BLUE SHIELD |
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