Infinite Vision Pllc

LBN: Infinite Vision Pllc
Infinite Vision Pllc is an health care organization with primary practice located at 2100 12Th Ave Rd , Nampa ID 83686-6441. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Infinite Vision Pllc can be contacted via phone (208) 467-5293, or through Brewer, Paul via phone (208) 297-3628.

Contact Information

Primary practice address
2100 12Th Ave Rd Nampa ID 83686-6441
Phone: (208) 467-5293
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Paul Doctor of Optometry (OD)
Phone: (208) 297-3628

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100357 Idaho

Profile Details

NPI number 1326582446
LBN Legal business name Infinite Vision Pllc
DBA Doing business as
Authorized official Brewer, Paul Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2016
Last updated Dec 8th, 2016 - about 10 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 1326582446 NPPES
Idaho MEDICAID 13596926

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