MAGIC VALLEY VISION PLLC; NPI #1730444779

Contact Information

MAGIC VALLEY VISION PLLC

1952 ADDISON AVE E
TWIN FALLS, ID 83301-5304

Phone: 208-749-1396
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for MAGIC VALLEY VISION PLLC

NPI # 1730444779

LBN Legal business name MAGIC VALLEY VISION PLLC

Authorized official JENNIFER RUPRECHT - (OPTOMETRIST/SOLE OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2012

Last updated 07/05/2012 - About 14 years ago

Identifiers

ID	License #	ODP-1036
ID	Other	000010139897	BLUE SHIELD

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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MAGIC VALLEY VISION PLLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for MAGIC VALLEY VISION PLLC

Reviews for MAGIC VALLEY VISION PLLC