Vision Quest Medical Center, Pa in Boise - Ophthalmologic Surgery
Vision Quest Medical Center, Pa - NPI 1780641902
Vision Quest Medical Center, Pa is a Ophthalmologic Surgery in Boise, Idaho. Vision Quest Medical Center, Pa practices all healthcare services and medical treatments related to Ophthalmologic Surgery. The NPI Number for Vision Quest Medical Center, Pa is 1780641902. The last update date is 2020-07-27.
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 |
|---|---|
| Authorized Official Name | Mong A Jacob |
| Credentials | DO |
| Telephone Number | 2083773937 |
NPI Number Detail
| NPI Number | 1780641902 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2020-07-27 |
Provider Mailing Address Detail
| Address | 5680 W Gage St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837061326 |
| Phone Number | 2083773937 |
| Fax Number | 2083779455 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmologic Surgery |
|---|---|
| Taxonomy | 261Qs0132X |
|
Definition: Provides surgical procedures to treat eye conditions and disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807072200 | ID | -- | |
| 807072300 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Vision Quest Medical Center, Pa?
The Vision Quest Medical Center, Pa has been issued the NPI (National Provider Identifier) 1780641902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Vision Quest Medical Center, Pa's facilities are situated?
The facilities of Vision Quest Medical Center, Pa are physically located at the following address: 5680 W Gage St, Boise, ID, 837061326.
What is the Vision Quest Medical Center, Pa's specialty and taxonomy code?
The Vision Quest Medical Center, Pa's specialty is Ophthalmologic Surgery, and the corresponding taxonomy code is 261Qs0132X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780641902 to Vision Quest Medical Center, Pa?
The Vision Quest Medical Center, Pa received its 1780641902 assignment from the Centers for Medicare & Medicaid Services on 2006-05-01.
As of what date were the details pertaining to Vision Quest Medical Center, Pa last refreshed?
The information related to the Vision Quest Medical Center, Pa, including its address, specialty, and other relevant details, was last updated on 2020-07-27.