Dsm Optometry Llc

LBN: Dsm Optometry Llc
Dsm Optometry Llc is an health care organization with primary practice located at 2300 E 17Th St , Idaho Falls ID 83404-6504. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dsm Optometry Llc can be contacted via phone (208) 525-8964, or through Mortensen, Damon Scott via phone (208) 525-8964.

Contact Information

Primary practice address
2300 E 17Th St Idaho Falls ID 83404-6504
Phone: (208) 525-8964
Fax: (208) 524-6562
Website:
Map and Directions
Authorized official contact:
Name: Mortensen, Damon Scott Doctor of Optometry (OD)
Phone: (208) 525-8964

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100185 Idaho

Profile Details

NPI number 1154616258
LBN Legal business name Dsm Optometry Llc
DBA Doing business as
Authorized official Mortensen, Damon Scott Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154616258 NPPES
Idaho Other 1760619365 NPI
Idaho MEDICAID 808388100 NPI

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