Kent M Archibald P.A.
LBN: Kent M Archibald P.A.
Kent M Archibald P.A. is an health care organization with primary practice located at 76 Professional Plz , Rexburg ID 83440-2047. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Kent M Archibald P.A. can be contacted via phone (208) 356-4585, or through Archibald, Kent M via phone (208) 356-4585.
Contact Information
Primary practice address
76 Professional Plz
Rexburg ID 83440-2047
Phone: (208) 356-4585
Fax: (208) 356-4587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPD-513 | Idaho |
Profile Details
| NPI number | 1447579123 |
|---|---|
| LBN Legal business name | Kent M Archibald P.A. |
| DBA Doing business as | |
| Authorized official | Archibald, Kent M Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2010 |
| Last updated | Jun 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447579123 | NPPES |
| Idaho | Other | ODP-513 | IDAHO OPTOMETRY LICENSE |
| Idaho | Other | V109-4 | IDAHO OPTOMETRY LICENSE |
| Idaho | Other | 00010015323 | IDAHO OPTOMETRY LICENSE |
| Idaho | MEDICAID | 002457600 | IDAHO OPTOMETRY LICENSE |
| Idaho | Other | 410007525 | IDAHO OPTOMETRY LICENSE |
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