Oregon Trail Eye Care, Pc

LBN: Oregon Trail Eye Care, Pc
Oregon Trail Eye Care, Pc is an health care organization with primary practice located at 152 S Main St , Soda Springs ID 83276-1441. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Oregon Trail Eye Care, Pc can be contacted via phone (208) 547-0000, or through Collins, Jeffrey Paul via phone (208) 547-0000.

Contact Information

Primary practice address
152 S Main St Soda Springs ID 83276-1441
Phone: (208) 547-0000
Fax: (208) 547-0004
Website:
Map and Directions
Authorized official contact:
Name: Collins, Jeffrey Paul Doctor of Optometry (OD)
Phone: (208) 547-0000

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100116 Idaho

Profile Details

NPI number 1093982217
LBN Legal business name Oregon Trail Eye Care, Pc
DBA Doing business as
Authorized official Collins, Jeffrey Paul Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Aug 14th, 2013 - 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 1093982217 NPPES
Idaho MEDICAID 8076769

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