VISION QUEST MEDICAL CENTER, PA NPI 1003873852

Durable Medical Equipment & Medical Supplies in Boise, ID

About VISION QUEST MEDICAL CENTER, PA

Vision Quest Medical Center, Pa is a provider in Boise, ID. The NPI number assigned to this provider is 1003873852. The practitioner's primary taxonomy code is Durable Medical Equipment & Medical Supplies (332B00000X). The provider is registered as an organization and their NPI record was last updated 0 years ago. Vision Quest Medical Center, Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Sonntag Eye Associates, Pa.

NPI1003873852 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameVISION QUEST MEDICAL CENTER, PA
Provider Location Address5680 W GAGE ST BOISE, ID 83706 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5680 W GAGE ST BOISE, ID 83706 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. 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.
Other Organization NameSONNTAG EYE ASSOCIATES, PA Additional informationCallout TooltipProvider other organization name
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. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeFormer Legal Business Name (4)
Enumeration Date04-26-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-25-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

VISION QUEST MEDICAL CENTER, PA
5680 W GAGE ST
BOISE, ID
ZIP 83706
Phone: (208) 377-3937
Fax: (208) 377-9455
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Mailing Address

VISION QUEST MEDICAL CENTER, PA
5680 W GAGE ST
BOISE, ID
ZIP 83706
Phone: (208) 377-3937
Fax: (208) 377-9455

Primary Taxonomy

Taxonomy Code332B00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

Authorized Official NameDR. JACOB A MONG DO Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(208) 377-3937

193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1152W00000XEye and Vision Services ProvidersOptometristODP100417IDNo

Taxonomy Description: 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.

2152W00000XEye and Vision Services ProvidersOptometristODP-100002IDNo

Taxonomy Description: 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.

3207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyO-0860IDNo

Taxonomy Description: an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
807072300MEDICAID (05)ID
0857720001MEDICARE NSC (07)
807072200MEDICAID (05)ID
CD8014MEDICARE PIN (08)ID

Map Location


VISION QUEST MEDICAL CENTER, PA address is 5680 W GAGE ST BOISE, ID 83706

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205161387DR. STEPHEN THOMAS REINSCHMIDT O.D.
Individual
Optometrist5680 W GAGE ST
BOISE, ID 83706
(208) 377-3937
1245223809 JOHN R SONNTAG M.D.
Individual
Ophthalmology5680 W GAGE ST
BOISE, ID 83706
(208) 377-3937
1275516718PREMIER SURGICAL CENTER, INC
Organization
Clinic/Center (Ambulatory Surgical)5680 W GAGE ST
BOISE, ID 83706
(208) 377-3937
1346535481DR. JACOB ADAM MONG D.O.
Individual
Ophthalmology5680 W GAGE ST
BOISE, ID 83706
(208) 377-3937
1356542542VISION QUEST MEDICAL CENTER, PA
Organization
Ophthalmology5680 W GAGE ST
BOISE, ID 83706
(208) 377-3937
1396740262DR. GARY R. PABALIS O.D.
Individual
Optometrist5680 W GAGE ST
BOISE, ID 83706
(208) 377-3937
1780641902VISION QUEST MEDICAL CENTER, PA
Organization
Durable Medical Equipment & Medical Supplies5680 W GAGE ST
BOISE, ID 83706
(208) 377-3937