institution
Eagle Eye Surgery And Laser Center Llc
Ambulatory Surgical Clinic/Center in Meridian, Idaho
NPI 1235255605

Eagle Eye Surgery And Laser Center Llc is an Ambulatory Surgical Clinic/Center based in Nashville, ID and is specialized in Ambulatory Surgical. Eagle Eye Surgery And Laser Center Llc practices in Meridian, ID. The NPI Number for Eagle Eye Surgery And Laser Center Llc is 1235255605 and holds a License No. (Idaho).

The current practice location address for Eagle Eye Surgery And Laser Center Llc is 3090 E Gentry Way Ste 100, Meridian, ID and can be reached out via phone at 208-288-1600 and via fax at 208-288-4299.

Location: 3090 E Gentry Way Ste 100, Meridian, ID, 37215-6103
institution
Provider Profile Details
NPI Number
1235255605
Provider Name
Eagle Eye Surgery And Laser Center Llc
Credential
Provider Entity Type
Organization
Address
3090 E Gentry Way Ste 100, Meridian, ID, 37215-6103
Phone Number
208-288-1600
Fax Number
208-288-4299
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010029603 01 ID REGENCE BLUE SHIELD
805834800 05 ID
04093 01 ID BLUE CROSS
150695 05 OR
490004716 01 ID RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3090 E Gentry Way Ste 100
City
State
Zip
83642-3548
Phone Number
208-288-1600
Fax Number
208-288-4299
person
Provider Business Mailing Address Details
Address
3090 E Gentry Way Ste 100
City
State
Zip
83642-3548
Phone Number
208-288-1600
Fax Number
208-288-4299
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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