institution
Idaho Eye Center Pa
Ambulatory Surgical Clinic/Center in Idaho Falls, Idaho
NPI 1629145685

Idaho Eye Center Pa is an Ambulatory Surgical Clinic/Center based in Idaho Falls, ID and is specialized in Ambulatory Surgical. Idaho Eye Center Pa practices in Idaho Falls, ID. The NPI Number for Idaho Eye Center Pa is 1629145685 and holds a License No. (Idaho).

The current practice location address for Idaho Eye Center Pa is 2025 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-524-2025 and via fax at 208-529-1924.

Location: 2025 E 17Th St, Idaho Falls, ID, 83404
institution
Provider Profile Details
NPI Number
1629145685
Provider Name
Idaho Eye Center Pa
Credential
Provider Entity Type
Organization
Address
2025 E 17Th St, Idaho Falls, ID, 83404
Phone Number
208-524-2025
Fax Number
208-529-1924
Provider Enumeration Date
11/28/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
490000614 01 ID RAILROAD MEDICARE
480000614 01 ID RAILROAD MEDICARE
00984 01 ID BLUE CROSS
002562201 05 ID
002565200 05 ID
105947500 01 ID WYOMING MEDICAID
5207 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2025 E 17Th St
City
State
Zip
83404
Phone Number
208-524-2025
Fax Number
208-529-1924
person
Provider Business Mailing Address Details
Address
2025 E 17Th St
City
State
Zip
83404
Phone Number
208-524-2025
Fax Number
208-529-1924
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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