Organization
NIELSON EYECARE PROFESSIONALS PC
Active
Other names
The Eye Site
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL MORRISON (BILLING COORDINATOR)
(208) 898-0304
Entity
Organization
Contact information
Practice address
1715 S WELLS AVE, MERIDIAN, ID 83642-5756
(208) 898-0304
(208) 898-0380
Mailing address
2320 E GALA ST, SUITE 400, MERIDIAN, ID 83642-7091
(208) 898-0304
(208) 898-0380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100015
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51385
DAVIS VISION
ID
01
—
NE29102
SPECTERA
ID
01
—
V6945
BLUE CROSS
ID
Enumeration date
11/13/2006
Last updated
09/11/2024
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