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TREE CITY EYECARE PLLC NPI 1598940421


NPI Information

NPI: 1598940421
Provider Name: TREE CITY EYECARE PLLC

Former Legal Business Name: OPTOMETRIC CENTER, P.A.

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
700 N RAYMOND ST
BOISE, ID
ZIP 83704
Phone: (208) 375-3871
Get Directions

TREE CITY EYECARE PLLC 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. TREE CITY EYECARE PLLC NPI is 1598940421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Optometric Center, P.a..

The provider's business location address is:

700 N RAYMOND ST
BOISE, ID
ZIP 83704-261
Phone: (208) 375-3871
Fax: (208) 321-1765

The provider's authorized official is Jaimen Dixon .
The authorized official title is Owner and has the following contact phone number (208) 375-3871.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 8/4/2023.


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
1152WC0802XOptometristCorneal and Contact ManagementNo
2152W00000XOptometristYes

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
120015736OTHERIDAHOMEDICARE ID
215989404214MEDICAIDIDAHO

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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