Jeffrey C. Johnson

LBN: Jeffrey C. Johnson
Jeffrey C. Johnson is an health care organization with primary practice located at 7960 W Rifleman Street Suite 150, Boise ID 83704. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jeffrey C. Johnson can be contacted via phone (208) 377-8899, or through Johnson, Jeffrey C via phone (208) 377-8899.

Contact Information

Primary practice address
7960 W Rifleman Street Suite 150 Boise ID 83704
Fax: (208) 321-1952
Website:
Authorized official contact:
Name: Johnson, Jeffrey C Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP843 Idaho

Profile Details

NPI number 1568632941
LBN Legal business name Jeffrey C. Johnson
DBA Doing business as
Authorized official Johnson, Jeffrey C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2008
Last updated Apr 4th, 2018 - about 7 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 1568632941 NPPES
Idaho MEDICAID 1568632941
Idaho Other 1378685

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