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Contact Information

ENVISION SPECIALTY EYECARE AND DRY EYE CENTER PLLC
1130 E FAIRVIEW AVE
MERIDIAN, ID83642-1813
 Phone: 208-859-5125
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ENVISION SPECIALTY EYECARE AND DRY EYE CENTER PLLC

NPI # 1083209951
LBN Legal business name ENVISION SPECIALTY EYECARE AND DRY EYE CENTER PLLC
Authorized official JASON BESECKER - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2021
Last updated 07/07/2021 - About 5 years ago
Identifiers
ID Other 000010000322 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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