Parkway Eyecare

LBN: Parkway Eyecare, P.C.
Parkway Eyecare is an health care organization with primary practice located at 320 S Woodruff Ave , Idaho Falls ID 83401-4329. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Parkway Eyecare, P.C. can be contacted via phone (208) 524-4552, or through Sparks, Kristan C via phone (208) 357-5733.

Contact Information

Primary practice address
320 S Woodruff Ave Idaho Falls ID 83401-4329
Phone: (208) 524-4552
Fax: (208) 524-4559
Website:
Map and Directions
Authorized official contact:
Name: Sparks, Kristan C Doctor of Optometry (OD)
Phone: (208) 357-5733

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-638 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100034 Idaho

Profile Details

NPI number 1013254549
LBN Legal business name Parkway Eyecare, P.C.
DBA Doing business as Parkway Eyecare
Authorized official Sparks, Kristan C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2013
Last updated Mar 1st, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013254549 NPPES
Idaho MEDICAID 806877400

Popular Providers