Gary J Lattimore

LBN: Gary J Lattimore
Gary J Lattimore is an health care organization with primary practice located at 501 S Woodruff Ave , Idaho Falls ID 83401-5200. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gary J Lattimore can be contacted via phone (208) 522-6271, or through Lattimore, Gary J via phone (208) 522-6271.

Contact Information

Primary practice address
501 S Woodruff Ave Idaho Falls ID 83401-5200
Phone: (208) 522-6271
Fax: (208) 522-7217
Website:
Map and Directions
Authorized official contact:
Name: Lattimore, Gary J Doctor of Optometry (OD)
Phone: (208) 522-6271

Health care specialties

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

Profile Details

NPI number 1831398643
LBN Legal business name Gary J Lattimore
DBA Doing business as
Authorized official Lattimore, Gary J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Feb 28th, 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 1831398643 NPPES
Idaho Other 000010015231 BLUESHIELD OF IDAHO
Idaho MEDICAID 002441400 BLUESHIELD OF IDAHO
Idaho Other V0724 BLUESHIELD OF IDAHO

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