Optic Art Ii, P.C.

LBN: Optic Art Ii, P.C.
Optic Art Ii, P.C. is an health care organization with primary practice located at 213 N Main St , Moscow ID 83843-2700. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optic Art Ii, P.C. can be contacted via phone (208) 882-2932, or through Robertson, Rodger Dean via phone (208) 882-2932.

Contact Information

Primary practice address
213 N Main St Moscow ID 83843-2700
Phone: (208) 882-2932
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Rodger Dean Doctor of Optometry (OD)
Phone: (208) 882-2932

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-552 Idaho

Profile Details

NPI number 1093946097
LBN Legal business name Optic Art Ii, P.C.
DBA Doing business as
Authorized official Robertson, Rodger Dean Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2009
Last updated Jan 13th, 2012 - about 13 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 1093946097 NPPES
Idaho MEDICAID 805042600

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