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ADA VISION CENTER P.A. NPI 1407869589


NPI Information

NPI: 1407869589
Provider Name: ADA VISION CENTER P.A.
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1333 W JEFFERSON ST
BOISE, ID
ZIP 83702
Phone: (208) 336-2020
Get Directions

ADA VISION CENTER P.A. is an optometrist in Boise, 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. ADA VISION CENTER P.A. NPI is 1407869589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1333 W JEFFERSON ST
BOISE, ID
ZIP 83702-320
Phone: (208) 336-2020
Fax: (208) 384-5677

The provider's authorized official is Todd Anthony Noble .
The authorized official title is President and has the following contact phone number (208) 336-2020.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 2/24/2009.


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
1000010138576OTHERIDAHOREGENCE BLUE SHIELD
2V7042OTHERIDAHOBLUE CROSS OF IDAHO
3U80987MEDICARE UPINIDAHO
4U80987MEDICAIDIDAHO
51594073MEDICARE ID-TYPE UNSPECIFIEDIDAHO
64529000001MEDICARE NSCIDAHO

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: 4/28/2024

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