Madison Clinic Optometry, P.C.

LBN: Madison Clinic Optometry, P.C.
Madison Clinic Optometry, P.C. is an health care organization with primary practice located at 244 E Main St , Rexburg ID 83440-2022. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Madison Clinic Optometry, P.C. can be contacted via phone (208) 359-1880, or through Heiner, Dallin via phone (208) 359-1880.

Contact Information

Primary practice address
244 E Main St Rexburg ID 83440-2022
Phone: (208) 359-1880
Fax: (208) 359-2025
Website:
Map and Directions
Authorized official contact:
Name: Heiner, Dallin Doctor of Optometry (OD)
Phone: (208) 359-1880

Health care specialties

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

Profile Details

NPI number 1598876997
LBN Legal business name Madison Clinic Optometry, P.C.
DBA Doing business as
Authorized official Heiner, Dallin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 28th, 2007 - about 19 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 1598876997 NPPES
Idaho Other V6499 BLUE CROSS
Idaho Other 000010149064 BLUE CROSS

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