Dr Mark D Denney Od Pa

LBN: Dr Mark D Denney Od Pa
Dr Mark D Denney Od Pa is an health care organization with primary practice located at 1340 S. Ammon Road , Idaho Falls ID 83406. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr Mark D Denney Od Pa can be contacted via phone (208) 523-3141, or through Denney, Mark D via phone (208) 523-3141.

Contact Information

Primary practice address
1340 S. Ammon Road Idaho Falls ID 83406
Phone: (208) 523-3141
Fax: (208) 525-2661
Website:
Map and Directions
Authorized official contact:
Name: Denney, Mark D Doctor of Optometry (OD)
Phone: (208) 523-3141

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP1012 Idaho

Profile Details

NPI number 1780890541
LBN Legal business name Dr Mark D Denney Od Pa
DBA Doing business as
Authorized official Denney, Mark D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jun 21st, 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 1780890541 NPPES
Idaho Other V3918 BLUE CROSS
Idaho Other 000010026621 BLUE CROSS
Idaho Other 167539 BLUE CROSS
Idaho MEDICAID 805561900 BLUE CROSS

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