VISION CARE CENTER OF IDAHO LLC NPI 1083674196

NPI Information

VISION CARE CENTER OF IDAHO LLC is an ambulatory surgical clinic center in Meridian, ID. VISION CARE CENTER OF IDAHO LLC NPI is 1083674196. The provider is registered as an organization entity type.

The provider's business location address is:

3071 E FRANKLIN RD
SUITE 101
MERIDIAN, ID
ZIP 83642-376
Phone: (208) 288-1400
Fax: (208) 855-0104

The provider's authorized official is Nancy Mchugh .
The authorized official title is Administrator and has the following contact phone number (208) 288-1400.

The CLIA number assigned to this NPI record is 13D0975825 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 7/13/2010.

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:

Other Identifiers

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