Vision One Eagle

LBN: Eagle Vision One Pllc
Vision One Eagle is an health care organization with primary practice located at 355 S Eagle Rd , Eagle ID 83616-5912. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eagle Vision One Pllc can be contacted via phone (208) 939-2773, or through Warner, Aaron J. via phone (208) 938-2015.

Contact Information

Primary practice address
355 S Eagle Rd Eagle ID 83616-5912
Phone: (208) 939-2773
Fax: (208) 939-5755
Website:
Map and Directions
Authorized official contact:
Name: Warner, Aaron J. Doctor of Optometry (OD)
Phone: (208) 938-2015

Health care specialties

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

Profile Details

NPI number 1699845503
LBN Legal business name Eagle Vision One Pllc
DBA Doing business as Vision One Eagle
Authorized official Warner, Aaron J. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Jun 15th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699845503 NPPES
Idaho Other 000010135320 BLUE SHIELD
Idaho Other V4916 BLUE SHIELD
Idaho Other 5675480001 BLUE SHIELD
Idaho MEDICAID 806190300 BLUE SHIELD

Popular Providers