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Contact Information

REXBURG VISION CENTER
49 E 1ST S
REXBURG, ID83440-1966
 Phone: 208-356-4444
 Fax: 208-356-4445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for REXBURG VISION CENTER

NPI Number 1801830666
LBN Legal business name REXBURG VISION CENTER
Authorized official DARREN HATCH - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 08/30/2017 - About 9 years ago
Identifiers
ID License # ODP-100403
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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