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Contact Information

REXBURG VISION CENTER
49 E 1ST S
REXBURG, ID83440-1966
 Phone: 208-356-4444
 Fax: 208-356-4445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for REXBURG VISION CENTER · (Female)

NPI # 1801830666
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 08/30/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # ODP-100403
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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