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AESTHETIC EYE PC
NPI 1881989895
Specialist in Ketchum, ID

Active since June 17, 2011
360 E 9TH ST #3, KETCHUM, ID 83340(541) 482-2821 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aesthetic Eye Pc NPPES

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

AESTHETIC EYE PC (NPI 1881989895) is a healthcare organization registered as a specialist in Ketchum, Idaho and active in the NPI registry since June 2011. The organization lists Alan W Mcinnes, President, as its authorized official.

NPPES Registry Identity

NPI1881989895
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAESTHETIC EYE PC
Location Address360 E 9TH ST #3Ketchum, ID 83340
Mailing Address2640 Creekside DrLodi, CA 95242-8341
Phone(541) 482-2821
Organization SubpartNo
Authorized OfficialAlan W McinnesPresident · (209) 981-2747
Enumeration DateJune 17, 2011
✔ NPI 1881989895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M-11139
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
360 E 9TH ST #3, Ketchum, ID 83340
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Other Identifiers 2

OtherM-11139ID · Md License
Other1942345228Individual Npi

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aesthetic Eye PC's NPI number?

The NPI number for Aesthetic Eye PC is 1881989895. It was assigned to this organization in the NPPES registry on June 17, 2011.

Where is Aesthetic Eye PC located?

Aesthetic Eye PC is located at 360 E 9th St #3, Ketchum, ID 83340. The listed phone number is (541) 482-2821.

What is Aesthetic Eye PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Aesthetic Eye PC accept?

Health plans from Moda Health Plan, Inc. list Aesthetic Eye PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aesthetic Eye PC was last updated on June 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.