Optometric Vision Center

LBN: John T Rietz
Optometric Vision Center is an health care organization with primary practice located at 1616 19Th Ave , Lewiston ID 83501-4005. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. John T Rietz can be contacted via phone (208) 746-3626, or through Rietz, John T via phone (208) 746-3626.

Contact Information

Primary practice address
1616 19Th Ave Lewiston ID 83501-4005
Phone: (208) 746-3626
Fax: (208) 746-1636
Website:
Map and Directions
Authorized official contact:
Name: Rietz, John T Doctor of Optometry (OD)
Phone: (208) 746-3626

Health care specialties

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

Profile Details

NPI number 1306967120
LBN Legal business name John T Rietz
DBA Doing business as Optometric Vision Center
Authorized official Rietz, John T Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Nov 5th, 2009 - 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 1306967120 NPPES
Idaho MEDICAID 002674300
Idaho MEDICAID 2012219

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