National Provider Identifier Database

EYECARE ASSOCIATES OF EASTGATE PA
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

EYECARE ASSOCIATES OF EASTGATE PA
939 W. BEACON ST
BOISE, ID83706-5118
Phone: 208-344-8758
Fax: 208-331-3379
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for EYECARE ASSOCIATES OF EASTGATE PA

NPI Number 1265589048
Legal business name
LBN
EYECARE ASSOCIATES OF EASTGATE PA
Authorized official ANGELA WINBIGLER - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2007
Last updated 11/29/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: ODP-718
  • ID Medicaid: 002622500
  • ID Other: V6622 BLUE CROSS
  • ID Other: 000010015349 BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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