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EAGLE VISION CENTER PC NPI 1467646265


NPI Information

NPI: 1467646265
Provider Name: EAGLE VISION CENTER PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
74 E 1ST S
REXBURG, ID
ZIP 83440
Phone: (208) 356-6911
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EAGLE VISION CENTER PC is an optometrist in Rexburg, 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. EAGLE VISION CENTER PC NPI is 1467646265. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

74 E 1ST S
REXBURG, ID
ZIP 83440-936
Phone: (208) 356-6911
Fax: (208) 356-3185

The provider's authorized official is Shawn Taylor Galbraith .
The authorized official title is Doctor and has the following contact phone number (208) 356-6911.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 11/21/2012.


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
1152W00000XOptometristODP100035IDAHOYes

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
11590017MEDICARE PINWYOMING
21590017MEDICARE PINIDAHO
3807725600MEDICAIDIDAHO

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: 11/14/2023

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