Idaho Eye Center Pa in Idaho Falls - Ophthalmology
Idaho Eye Center Pa - NPI 1518021849
Idaho Eye Center Pa is a Ophthalmology in Idaho Falls, Idaho. Idaho Eye Center Pa practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Idaho Eye Center Pa is 1518021849. The last update date is 2008-08-20.
Idaho Eye Center Pa's current location address is 2025 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085242025 and fax number 2085291924. The mailing address for Idaho Eye Center Pa is 2025 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Eye Center Pa |
|---|---|
| Address | 2025 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085242025 |
| Fax Number | 2085291924 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR VIC |
|---|---|
| Authorized Official Name | Gardner P Bradley |
| Credentials | MD |
| Telephone Number | 2085242025 |
NPI Number Detail
| NPI Number | 1518021849 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2008-08-20 |
Provider Mailing Address Detail
| Address | 2025 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 83404 |
| Phone Number | 2085242025 |
| Fax Number | 2085291924 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8C626 | ID | BLUE CROSS | |
| 8F876 | ID | BLUE CROSS | |
| 8E837 | ID | BLUE CROSS | |
| 84434 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Idaho Eye Center Pa by the Centers for Medicare & Medicaid Services?
The Idaho Eye Center Pa has been assigned the NPI (National Provider Identifier) 1518021849. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Idaho Eye Center Pa's facilities are geographically located?
The facilities of Idaho Eye Center Pa are physically situated at the following location: 2025 E 17Th St, Idaho Falls, ID, 83404.
What is Idaho Eye Center Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Idaho Eye Center Pa's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
On what date was the 1518021849 assigned to Idaho Eye Center Pa?
The Idaho Eye Center Pa was issued its 1518021849 on 2006-12-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Idaho Eye Center Pa's details last updated?
The information pertaining to the Idaho Eye Center Pa, including its address, specialty, and other details, was most recently updated on 2008-08-20.
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