Provider Type Icon

TOTAL VISION PA NPI 1447328463


NPI Information

NPI: 1447328463
Provider Name: TOTAL VISION PA
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
1702 S KIMBALL AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 459-2641
Get Directions

TOTAL VISION PA is a corneal and contact management optometrist in Caldwell, ID. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. TOTAL VISION PA NPI is 1447328463. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1702 S KIMBALL AVE
CALDWELL, ID
ZIP 83605-826
Phone: (208) 459-2641
Fax: (208) 459-2895

The provider's authorized official is Sheree C Shannon .
The authorized official title is Administrative Assistant and has the following contact phone number (208) 459-2641.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 6/28/2010.


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
1152W00000XOptometristODP100163IDAHONo
2152WC0802XOptometristCorneal and Contact ManagementODP100163IDAHONo
3152WP0200XOptometristPediatricsODP100163IDAHONo
4152WL0500XOptometristLow Vision RehabilitationODP100163IDAHONo
5152WX0102XOptometristOccupational VisionODP100163IDAHONo
6152WS0006XOptometristSports VisionODP100163IDAHONo
7152W00000XOptometristODP-579IDAHONo
8152WP0200XOptometristPediatricsODP-579IDAHONo
9152WC0802XOptometristCorneal and Contact ManagementODP-579IDAHOYes

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
1V9055OTHERIDAHOBLUE CROSS OF IDAHO GROUP
21593555MEDICARE UPINIDAHO
30396900001MEDICARE NSCIDAHO
4807869000MEDICAIDIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.