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Contact Information

JASON N HURLEY O.D., PC
711 RIGBY LAKE DR STE 301
RIGBY, ID83442-5334
 Phone: 208-745-0181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JASON N HURLEY O.D., PC

NPI # 1629272323
LBN Legal business name JASON N HURLEY O.D., PC
Authorized official JASON HURLEY - (OWNER/OD)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2007
Last updated 10/02/2023 - About 3 years ago
Identifiers
ID License # ODP100063
ID Medicaid 806929900
ID Other V6531 BLUE CROSS OF IDAHO
ID Other 5293100001 NORIDIAN
ID Other 000010147608 REGENS BLUE SHIELD OF IDA
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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