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Organization

EAGLE VISION ONE PLLC

Active
Other names
Vision One Eagle
Organization subpart
No

Provider details

NPI number
Authorized official
AARON J. WARNER OD (OWNER)
(208) 938-2015
Entity
Organization

Contact information

Practice address
355 S EAGLE RD, EAGLE, ID 83616-5912
(208) 939-2773
(208) 939-5755
Mailing address
355 S EAGLE RD, EAGLE, ID 83616-5912
(208) 939-2773
(208) 939-5755

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010135320
BLUE SHIELD
ID
01
5675480001
MEDICARE DMERC
ID
05
806190300
ID
01
V4916
BLUE CROSS
ID
Enumeration date
11/08/2006
Last updated
06/15/2023
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