Vision Care Center of Idaho LLC

NPI #1083674196 in Meridian, Idaho

Provider Information

NPI Number: 1083674196
Entity Type: Organization
Organization Name: Vision Care Center of Idaho LLC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Mar 23, 2006
Last Updated: Jul 13, 2010

Practice Location

Address: 3071 E FRANKLIN RD
Address 2: SUITE 101
City: Meridian
State: Idaho
ZIP Code: 83642-2376
Phone: (208) 288-1400

Authorized Official

Name: MRS. NANCY MCHUGH
Title: ADMINISTRATOR
Phone: (208) 288-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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