Drew C Dayton Chartered

LBN: Drew C Dayton Chartered
Drew C Dayton Chartered is an health care organization with primary practice located at 622 E. Main St. , Middleton ID 83644-5502. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Drew C Dayton Chartered can be contacted via phone (208) 585-9500, or through Dayton, Drew C via phone (208) 585-9500.

Contact Information

Primary practice address
622 E. Main St. Middleton ID 83644-5502
Phone: (208) 585-9500
Fax: (208) 585-9497
Website:
Map and Directions
Authorized official contact:
Name: Dayton, Drew C Doctor of Optometry (OD)
Phone: (208) 585-9500

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-823 Idaho

Profile Details

NPI number 1407984925
LBN Legal business name Drew C Dayton Chartered
DBA Doing business as
Authorized official Dayton, Drew C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 24th, 2012 - about 13 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 1407984925 NPPES
Idaho MEDICAID 807484800

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