EYECARE ASSOCIATES OF EASTGATE PA NPI 1265589048

NPI Information

NPI: 1265589048
Provider Name: EYECARE ASSOCIATES OF EASTGATE PA
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
939 W. BEACON ST
BOISE, ID
ZIP 83706
Phone: (208) 344-8758
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EYECARE ASSOCIATES OF EASTGATE PA is an eyewear supplier in Boise, ID. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYECARE ASSOCIATES OF EASTGATE PA NPI is 1265589048. The provider is registered as an organization entity type.

The provider's business location address is:

939 W. BEACON ST
BOISE, ID
ZIP 83706-118
Phone: (208) 344-8758
Fax: (208) 331-3379

The provider's authorized official is Angela Winbigler .
The authorized official title is Office Manager and has the following contact phone number (208) 344-8758.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 11/29/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		ODP-718	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1243380001	MEDICARE NSC	IDAHO
2	000010015349	OTHER	IDAHO	BLUE SHIELD
3	002622500	MEDICAID	IDAHO
4	V6622	OTHER	IDAHO	BLUE CROSS
5	T44355	MEDICARE UPIN	IDAHO
6	159-1510	MEDICARE ID-TYPE UNSPECIFIED	IDAHO

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

NPI Synchronization or Removal

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