INTERMOUNTAIN EYE AND LASER CENTERS PLLC NPI 1518643923

NPI Information

NPI: 1518643923
Provider Name: INTERMOUNTAIN EYE AND LASER CENTERS PLLC
Classification: Ophthalmology - 207WX0009X
Entity Type: Organization

Specialization: Glaucoma Specialist

Address:
323 E RIVERSIDE DR STE 122
EAGLE, ID
ZIP 83616
Phone: (208) 938-4749
Get Directions

INTERMOUNTAIN EYE AND LASER CENTERS PLLC is a glaucoma specialist ophthalmology in Eagle, ID. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. INTERMOUNTAIN EYE AND LASER CENTERS PLLC NPI is 1518643923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

323 E RIVERSIDE DR STE 122
EAGLE, ID
ZIP 83616-865
Phone: (208) 938-4749

The provider's authorized official is Brent S Betts .
The authorized official title is Partner and has the following contact phone number (801) 581-2352.

The enumeration date for this NPI number is 6/22/2023 and was last updated on 6/22/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	152W00000X	Optometrist		No
2	207W00000X	Ophthalmology		No
3	207WX0009X	Ophthalmology	Glaucoma Specialist	Yes

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: 5/5/2024

NPI Synchronization or Removal

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