Treasure Valley Optometry

LBN: Rg Vision Llc
Treasure Valley Optometry is an health care organization with primary practice located at 5875 E Franklin Rd , Nampa ID 83687-5450. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Rg Vision Llc can be contacted via phone (208) 461-8724, or through Gray, Russell Lamar via phone (208) 871-2936.

Contact Information

Primary practice address
5875 E Franklin Rd Nampa ID 83687-5450
Phone: (208) 461-8724
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Russell Lamar Doctor of Optometry (OD)
Phone: (208) 871-2936

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1881363760
LBN Legal business name Rg Vision Llc
DBA Doing business as Treasure Valley Optometry
Authorized official Gray, Russell Lamar Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2021
Last updated Feb 11th, 2022 - about 4 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 1881363760 NPPES
Idaho Other ODP-100476 OD LICENSE NUMBER

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