Magic Valley Vision Pllc

LBN: Magic Valley Vision Pllc
Magic Valley Vision Pllc is an health care organization with primary practice located at 1952 Addison Ave E , Twin Falls ID 83301-5304. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Magic Valley Vision Pllc can be contacted via phone (208) 749-1396, or through Ruprecht, Jennifer Kay via phone (208) 749-1396.

Contact Information

Primary practice address
1952 Addison Ave E Twin Falls ID 83301-5304
Phone: (208) 749-1396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ruprecht, Jennifer Kay Doctor of Optometry (OD)
Phone: (208) 749-1396

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X ODP-1036 Idaho

Profile Details

NPI number 1730444779
LBN Legal business name Magic Valley Vision Pllc
DBA Doing business as
Authorized official Ruprecht, Jennifer Kay Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2012
Last updated Jul 5th, 2012 - about 14 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 1730444779 NPPES
Idaho Other 000010139897 BLUE SHIELD

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