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Contact Information

EYECARE SPECIALTIES OF IDAHO PC
134 N STATE ST
PRESTON, ID83263-1143
 Phone: 618-462-9818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYECARE SPECIALTIES OF IDAHO PC

NPI # 1417848037
LBN Legal business name EYECARE SPECIALTIES OF IDAHO PC
Authorized official MELISSA ALLISON - (SR. DIRECTOR MANAGED VISION CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2025
Last updated 07/11/2025 - About 11 months 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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