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VISION QUEST MEDICAL CENTER PA NPI 1568664506


NPI Information

NPI: 1568664506
Provider Name: VISION QUEST MEDICAL CENTER, PA

Former Legal Business Name: SONNTAG EYE ASSOCIATES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 13D1088678

Address:
3025 W CHERRY LN
SUITE 207
MERIDIAN, ID
ZIP 83642
Phone: (208) 898-1614
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VISION QUEST MEDICAL CENTER, PA is an ophthalmology in Meridian, ID. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. VISION QUEST MEDICAL CENTER, PA NPI is 1568664506. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Sonntag Eye Associates.

The provider's business location address is:

3025 W CHERRY LN
SUITE 207
MERIDIAN, ID
ZIP 83642-125
Phone: (208) 898-1614
Fax: (208) 898-1618

The provider's authorized official is Jacob Adam Mong .
The authorized official title is President and has the following contact phone number (208) 377-3937.

The CLIA number assigned to this NPI record is 13D1088678 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 10/21/2021.


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
1152W00000XOptometristODP-100002IDAHONo
2152W00000XOptometristODP-100417IDAHONo
3207W00000XOphthalmologyO-0860IDAHOYes

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
1000160500MEDICAIDIDAHO
246235OTHERIDAHOBLUE CROSS GROUP NO
3807072200MEDICAIDIDAHO
4001553800MEDICAIDIDAHO
5806834700MEDICAIDIDAHO
6807072300MEDICAIDIDAHO

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.