Jerome Eyecenter

LBN: Eyecenter Pa
Jerome Eyecenter is an health care organization with primary practice located at 201 South Lincoln , Jerome ID 83338-2624. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eyecenter Pa can be contacted via phone (208) 324-4363, or through Davis, James A via phone (208) 324-4363.

Contact Information

Primary practice address
201 South Lincoln Jerome ID 83338-2624
Phone: (208) 324-4363
Fax: (208) 324-8948
Website:
Map and Directions
Authorized official contact:
Name: Davis, James A Doctor of Optometry (OD)
Phone: (208) 324-4363

Health care specialties

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

Profile Details

NPI number 1699862805
LBN Legal business name Eyecenter Pa
DBA Doing business as Jerome Eyecenter
Authorized official Davis, James A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 7th, 2006
Last updated Jan 8th, 2008 - about 17 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 1699862805 NPPES
Other CP7637 TRAVELERS RR MEDICARE GRP

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