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Contact Information

IWASA EYE CENTER P.A.
925 NW 12TH ST
FRUITLAND, ID83619-5044
 Phone: 208-642-2151
 Fax: 208-452-6508
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for IWASA EYE CENTER P.A.

NPI # 1346383957
LBN Legal business name IWASA EYE CENTER P.A.
Authorized official DANIEL IWASA - (OPTOMETHRIC PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2007
Last updated 07/11/2023 - About 3 years ago
Identifiers
ID License # ODP-856
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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