TOTAL VISION PA - NPI 1447328463 - Optometrist in Caldwell, ID

Q: What is Total Vision PA's NPI number?

The NPI number for Total Vision PA is 1447328463. It was assigned to this organization in the NPPES registry on November 30, 2006.

Q: What is Total Vision PA's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Total Vision PA was last updated on June 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Total Vision Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOTAL VISION PA (NPI 1447328463) is a healthcare organization registered as a corneal and contact management in Caldwell, Idaho and active in the NPI registry since November 2006. The organization lists Sheree C Shannon, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1447328463

Entity TypeOrganization

Primary Taxonomy152WC0802X

Legal Business NameTOTAL VISION PA

Location Address1702 S KIMBALL AVECaldwell, ID 83605-4826

Mailing Address1702 S Kimball AveCaldwell, ID 83605-4826 · (208) 459-2641 · Fax (208) 459-2895

Phone(208) 459-2641

Fax(208) 459-2895

Organization SubpartNo

Authorized OfficialSheree C ShannonAdministrative Assistant · (208) 459-2641

Enumeration DateNovember 30, 2006

Last NPPES UpdateJune 28, 2010

✔ NPI 1447328463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

Licenses✔ Licensed in ID · ODP-579✔ Licensed in ID · ODP100163

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Also ListedOptometristTaxonomy 152W00000X · License ODP100163 (ID), ODP-579 (ID)

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License ODP100163 (ID)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License ODP100163 (ID), ODP-579 (ID)

Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License ODP100163 (ID)

Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License ODP100163 (ID)

1702 S KIMBALL AVE, Caldwell, ID 83605

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Other Identifiers 4

OtherV9055ID · Blue Cross Of Idaho Group

Medicare UPIN1593555ID

Medicare NSC0396900001ID

Medicaid807869000ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MARIE NEIDEFFER

Optometrist