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Contact Information

PEND OREILLE VISION CARE
6132 HIGHWAY 2
PRIEST RIVER, ID83856
 Phone: 208-448-0144
 Fax: 208-448-0147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for PEND OREILLE VISION CARE

NPI Number 1104316785
LBN Legal business name PEND OREILLE VISION CARE
Authorized official NATHANEAL HARRELL - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/18/2018
Last updated 03/09/2023 - About 3 years ago
Identifiers n/a
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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