Lifetime Optometry

LBN: Primary Eyecare Inc
Lifetime Optometry is an health care organization with primary practice located at 10454 W Overland Rd , Boise ID 83709-1433. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Primary Eyecare Inc can be contacted via phone (208) 672-1370, or through Murray, Richard C via phone (208) 672-1370.

Contact Information

Primary practice address
10454 W Overland Rd Boise ID 83709-1433
Phone: (208) 672-1370
Fax: (208) 672-1404
Website:
Map and Directions
Authorized official contact:
Name: Murray, Richard C
Phone: (208) 672-1370

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-782 Idaho

Profile Details

NPI number 1083819080
LBN Legal business name Primary Eyecare Inc
DBA Doing business as Lifetime Optometry
Authorized official Murray, Richard C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated Aug 3rd, 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 1083819080 NPPES
Idaho MEDICAID 806071300

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