Organization
ARNEL R BAIRD
Active
Other names
20 20 Optical & Vision Center, pllc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNEL R BAIRD O.D. (OWNER)
(208) 542-9155
Entity
Organization
Contact information
Practice address
301 S 4TH AVE, C-2, POCATELLO, ID 83201-6462
(208) 637-0841
(208) 237-6922
Mailing address
11670 N 15TH E, IDAHO FALLS, ID 83401-5111
(208) 542-9155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ID ODP801
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130136
NATIONAL VISION ADMIN.
ID
01
—
2276103
FIRST HEALTH
ID
01
—
50065
DAVIS VISION
ID
01
—
ID 00801
VISION BENEFITS OF AMERIC
ID
01
—
ID 0801
EYEMED
ID
01
—
V6986
BLUE CROSS
ID
Enumeration date
03/30/2007
Last updated
08/22/2020
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