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ALAMEDA VISION INC. NPI 1114901535


NPI Information

NPI: 1114901535
Provider Name: ALAMEDA VISION INC.
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 13D2067990

Address:
1155 POCATELLO CREEK RD
POCATELLO, ID
ZIP 83201
Phone: (208) 233-2020
Get Directions

ALAMEDA VISION INC. is an optometrist in Pocatello, ID. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ALAMEDA VISION INC. NPI is 1114901535. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1155 POCATELLO CREEK RD
POCATELLO, ID
ZIP 83201-949
Phone: (208) 233-2020
Fax: (208) 233-2021

The provider's authorized official is Janece Fowers .
The authorized official title is Billing Manager and has the following contact phone number (208) 233-2020.

The CLIA number assigned to this NPI record is 13D2067990 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 8/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
182413OTHERBS
2CP9184OTHERIDAHORR MEDICARE
31591215MEDICARE PINIDAHO
41591031MEDICARE PINIDAHO
51590018MEDICARE PINIDAHO
61591105MEDICARE PINIDAHO
70581440001MEDICARE NSCIDAHO
8U2498OTHERBC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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