Y - Accepts Medicare approved amount as payment in fullĬlaims Based Hospital Affiliation Claim Control Number (CCN) Medicare Provider Enrollment and Chain/Ownership System (PECOS) National Plan and Provider Enumeration System (NPPES)ĩ234290636 PECOS Associate Control (PAC) ID Enrollment Information NPIġ780874453 Nation Provider Identifier (NPI) The business address is 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316. The organization name is INTERMOUNTAIN EYE AND LASER CENTERS PLLC. The name of the person authorized to submit the NPI application or to officially change data for a health care provider.VANESSA J EWING is a optometry enrolled with Centers for Medicare & Medicaid Services (CMS).
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For individual NPIs the license data is associated to the taxonomy code.
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There could be only one primary taxonomy code per NPI record. The primary taxonomy code defines the provider type, classification, and specialization. The date that a NPI record was last updated or changed. The date the provider was assigned a unique identifier (assigned an NPI).
The provider other organization name codes are: The code identifying the type of other name. The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component. Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. Subparts are the components and separate physical locations of organization health care providers. The code describing the type of health care provider that is being assigned an NPI.ġ = Person: individual human being who furnishes health care Ģ = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO) This address may contain the same information as the provider location address. The mailing address of the provider being identified.
This address cannot include a Post Office box. For providers with more than one physical location, this is the primary location. The location address of the provider being identified.
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider. What is the National Provider Indentifier (NPI)? The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses. Intermountain Eye And Laser Centers Pllc is a medicare supplier with PTAN 0575390001 who accepts Medicare assignment for all durable medical equipment and supplies. The authorized official of this NPI record is Dr. Intermountain Eye And Laser Centers Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider is registered as an organization and their NPI record was last updated 13 years ago.
The practitioner's primary taxonomy code is 207W00000X. The NPI number of Intermountain Eye And Laser Centers Pllc is 1730119611 and was assigned on July 2006. Intermountain Eye And Laser Centers Pllc is a provider established in Boise, Idaho specializing in ophthalmology. NPI 1730119611 Organization Ophthalmology Medicare Supplier Accepts Medicare Approved Payment About INTERMOUNTAIN EYE AND LASER CENTERS PLLC
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