Eagle Eye Surgery & Laser Center

LBN: Eagle Eye Surgery And Laser Center Llc
Eagle Eye Surgery & Laser Center is an health care organization with primary practice located at 3090 E Gentry Way Ste 100 , Meridian ID 83642-3548. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Eagle Eye Surgery And Laser Center Llc can be contacted via phone (208) 288-1600, or through Snodgrass, Jeffrey via phone (615) 665-1283.

Contact Information

Primary practice address
3090 E Gentry Way Ste 100 Meridian ID 83642-3548
Fax: (208) 288-4299
Website:
Authorized official contact:
Name: Snodgrass, Jeffrey

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1235255605
LBN Legal business name Eagle Eye Surgery And Laser Center Llc
DBA Doing business as Eagle Eye Surgery & Laser Center
Authorized official Snodgrass, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Sep 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235255605 NPPES
Idaho Other 000010029603 REGENCE BLUE SHIELD
Idaho MEDICAID 805834800 REGENCE BLUE SHIELD
Idaho Other 04093 REGENCE BLUE SHIELD
Idaho MEDICAID 150695 REGENCE BLUE SHIELD
Idaho Other 490004716 REGENCE BLUE SHIELD

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