Diamond Peak Idaho

LBN: Diamond Peak Idaho
Diamond Peak Idaho is an health care organization with primary practice located at 1450 N 2Nd E , Rexburg ID 83440-5131. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Diamond Peak Idaho can be contacted via phone (208) 497-6406, or through Demordaunt, Wade via phone (925) 222-1957.

Contact Information

Primary practice address
1450 N 2Nd E Rexburg ID 83440-5131
Phone: (208) 497-6406
Fax: (208) 359-3007
Website:
Map and Directions
Authorized official contact:
Name: Demordaunt, Wade Doctor of Optometry (OD)
Phone: (925) 222-1957

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-959 Idaho

Profile Details

NPI number 1588039127
LBN Legal business name Diamond Peak Idaho
DBA Doing business as
Authorized official Demordaunt, Wade Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2015
Last updated Feb 4th, 2016 - about 10 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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