Michael R Flandro Od Pa

LBN: Michael R Flandro Od Pa
Michael R Flandro Od Pa is an health care organization with primary practice located at 360 S Arthur Ave , Pocatello ID 83204-3307. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Michael R Flandro Od Pa can be contacted via phone (208) 232-6675, or through Flandro, Michael Reese via phone (208) 232-6675.

Contact Information

Primary practice address
360 S Arthur Ave Pocatello ID 83204-3307
Phone: (208) 232-6675
Fax: (208) 232-5800
Website:
Map and Directions
Authorized official contact:
Name: Flandro, Michael Reese Doctor of Optometry (OD)
Phone: (208) 232-6675

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X ODP-702 Idaho

Profile Details

NPI number 1922257823
LBN Legal business name Michael R Flandro Od Pa
DBA Doing business as
Authorized official Flandro, Michael Reese Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2008
Last updated Jul 21st, 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 1922257823 NPPES
Idaho Other 000010015363 REGENCE BLUE SHIELD OF IDAHO
Idaho Other 410039268 REGENCE BLUE SHIELD OF IDAHO
Idaho MEDICAID 002622900 REGENCE BLUE SHIELD OF IDAHO
Idaho Other V2811 REGENCE BLUE SHIELD OF IDAHO

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