Westside Eyecare Inc

LBN: Westside Eyecare Inc
Westside Eyecare Inc is an health care organization with primary practice located at 1689 Pancheri Dr , Idaho Falls ID 83402-3041. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Westside Eyecare Inc can be contacted via phone (208) 529-4333, or through Birch, Jared Edgar via phone (208) 529-4333.

Contact Information

Primary practice address
1689 Pancheri Dr Idaho Falls ID 83402-3041
Phone: (208) 529-4333
Fax: (208) 529-4366
Website:
Map and Directions
Authorized official contact:
Name: Birch, Jared Edgar Doctor of Optometry (OD)
Phone: (208) 529-4333

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100057 Idaho

Profile Details

NPI number 1134299928
LBN Legal business name Westside Eyecare Inc
DBA Doing business as
Authorized official Birch, Jared Edgar Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 18th, 2012 - about 14 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 1134299928 NPPES
Idaho MEDICAID 807631000

Popular Providers