Organization
VISION ONE MCCALL INC
Active
Other names
Vision One McCall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY ANDREGG O.D. (OWNER)
(208) 634-2020
Entity
Organization
Contact information
Practice address
313 DEINHARD LANE, MCCALL, ID 83638-3030
(208) 634-2020
(208) 634-7066
Mailing address
PO BOX 3030, MCCALL, ID 83638-3030
(208) 634-2020
(208) 634-7066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010144122
BLUESHIELD
ID
01
—
V3785
BLUE CROSS
ID
Enumeration date
11/27/2006
Last updated
01/20/2008
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