Organization
VISION ONE INC
Active
Other names
Vision One
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY N BODILY OD (OWNER PRESIDENT)
(208) 344-2020
Entity
Organization
Contact information
Practice address
610 AMERICANA BLVD, BOISE, ID 83702-6731
(208) 344-2020
(208) 344-2371
Mailing address
610 AMERICANA BLVD, BOISE, ID 83702-6731
(208) 344-2020
(208) 344-2371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015543
BLUESHIELD
ID
05
—
002605600
—
ID
01
—
V8446
BLUECROSS
ID
Enumeration date
11/08/2006
Last updated
05/02/2008
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