Vision Quest Medical Center, Pa in Boise - Ophthalmology
Vision Quest Medical Center, Pa - NPI 1003873852
Vision Quest Medical Center, Pa is a Ophthalmology in Boise, Idaho. Vision Quest Medical Center, Pa practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Vision Quest Medical Center, Pa is 1003873852. The last update date is 2017-11-21.
Vision Quest Medical Center, Pa's current location address is 5680 W Gage St, Boise, Idaho. You can contact this provider via phone number 2083773937 and fax number 2083779455. The mailing address for Vision Quest Medical Center, Pa is 5680 W Gage St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Vision Quest Medical Center, Pa |
---|---|
Address | 5680 W Gage St, Boise, Idaho |
Phone Number | 2083773937 |
Fax Number | 2083779455 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Mong A Jacob |
Credentials | DO |
Telephone Number | 2083773937 |
NPI Number Detail
NPI Number | 1003873852 |
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Provider Enumeration Date | 2006-04-26 |
Last Updated Date | 2017-11-21 |
Provider Mailing Address Detail
Address | 5680 W Gage St |
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City | Boise |
State | Idaho (ID) |
Post Code | 837061326 |
Phone Number | 2083773937 |
Fax Number | 2083779455 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | O-0860 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
807072200 | ID | -- | |
807072300 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Vision Quest Medical Center, Pa by the Centers for Medicare & Medicaid Services?
The Vision Quest Medical Center, Pa has been assigned the NPI (National Provider Identifier) 1003873852 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Vision Quest Medical Center, Pa is physically located?
The Vision Quest Medical Center, Pa is physically situated at the following address: 5680 W Gage St, Boise, ID, 837061326.
What is Vision Quest Medical Center, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vision Quest Medical Center, Pa's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Vision Quest Medical Center, Pa receive the assignment of its 1003873852 from the Centers for Medicare & Medicaid Services?
The Vision Quest Medical Center, Pa was issued its 1003873852 by the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the Vision Quest Medical Center, Pa's information last updated?
The Vision Quest Medical Center, Pa's information was last updated on 2017-11-21.
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