Rsjohnson Od Pllc

LBN: Rsjohnson Od Pllc
Rsjohnson Od Pllc is an health care organization with primary practice located at 4240 Yellowstone Ave , Chubbuck ID 83202-2420. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Rsjohnson Od Pllc can be contacted via phone (208) 241-9145, or through Johnson, Ryan S via phone (208) 241-9145.

Contact Information

Primary practice address
4240 Yellowstone Ave Chubbuck ID 83202-2420
Phone: (208) 241-9145
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Ryan S Doctor of Optometry (OD)
Phone: (208) 241-9145

Health care specialties

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

Profile Details

NPI number 1760052401
LBN Legal business name Rsjohnson Od Pllc
DBA Doing business as
Authorized official Johnson, Ryan S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2021
Last updated Jun 25th, 2021 - about 5 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 1760052401 NPPES
Idaho MEDICAID 1184653403

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