Eastland Vision Clinic

LBN: Gary P Walker Od Pc
Eastland Vision Clinic is an health care organization with primary practice located at 1067 Eastland Dr , Twin Falls ID 83301-6747. 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 P Walker Od Pc can be contacted via phone (208) 733-1944, or through Walker, Jared P via phone (208) 733-1944.

Contact Information

Primary practice address
1067 Eastland Dr Twin Falls ID 83301-6747
Phone: (208) 733-1944
Fax: (208) 734-4984
Website:
Map and Directions
Authorized official contact:
Name: Walker, Jared P Doctor of Optometry (OD)
Phone: (208) 733-1944

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-0539 Idaho

Profile Details

NPI number 1477657013
LBN Legal business name Gary P Walker Od Pc
DBA Doing business as Eastland Vision Clinic
Authorized official Walker, Jared P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477657013 NPPES
Idaho MEDICAID 1477657013
Idaho MEDICAID 806642800

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