Merrell Eyecare Center Inc

LBN: Merrell Eyecare Center Inc
Merrell Eyecare Center Inc is an health care organization with primary practice located at 345 N 2Nd E Ste 1 , Rexburg ID 83440-1603. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Merrell Eyecare Center Inc can be contacted via phone (208) 359-2020, or through Merrell, Marshall H via phone (208) 359-2020.

Contact Information

Primary practice address
345 N 2Nd E Ste 1 Rexburg ID 83440-1603
Phone: (208) 359-2020
Fax: (208) 534-9997
Website:
Map and Directions
Authorized official contact:
Name: Merrell, Marshall H Doctor of Optometry (OD)
Phone: (208) 359-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP813 Idaho

Profile Details

NPI number 1245537885
LBN Legal business name Merrell Eyecare Center Inc
DBA Doing business as
Authorized official Merrell, Marshall H Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2011
Last updated Mar 24th, 2017 - about 9 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 1245537885 NPPES
Idaho MEDICAID 1992894232

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