Eyedaho Optometric Llc

LBN: Eyedaho Optometric Llc
Eyedaho Optometric Llc is an health care organization with primary practice located at 500 S Utah Ave , Idaho Falls ID 83402-3305. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Eyedaho Optometric Llc can be contacted via phone (208) 709-5371, or through Dickson, Trevor via phone (208) 709-5371.

Contact Information

Primary practice address
500 S Utah Ave Idaho Falls ID 83402-3305
Phone: (208) 709-5371
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dickson, Trevor Doctor of Optometry (OD)
Phone: (208) 709-5371

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1396361358
LBN Legal business name Eyedaho Optometric Llc
DBA Doing business as
Authorized official Dickson, Trevor Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 2020 - about 5 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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