EAGLE EYE SURGERY & LASER CENTER – NPI #1235255605
Clinic/Center
EAGLE EYE SURGERY & LASER CENTER is an AHC clinic located in MERIDIAN, ID. NPPES has assigned the NPI number 1235255605 to EAGLE EYE SURGERY & LASER CENTER on March 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAGLE EYE SURGERY & LASER CENTER” is a dba name, the actual legal business name for this organization is EAGLE EYE SURGERY AND LASER CENTER LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 4 years ago on Sep 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAGLE EYE SURGERY & LASER CENTER below.
NPI Profile for
EAGLE EYE SURGERY AND LASER CENTER LLC
(more than 19 years ago)
MERIDIAN, ID 83642-3548 Phone: (208) 288-1600 Fax: (208) 288-4299
ATTN: L&C
NASHVILLE, TN 37215-6103 Phone: (615) 665-1283 Fax: (615) 234-1720
PRESIDENT
Phone: (615) 665-1283
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for EAGLE EYE SURGERY & LASER CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUE CROSS | ID | 04093 |
| other | RAILROAD MEDICARE | ID | 490004716 |
| other | REGENCE BLUE SHIELD | ID | 000010029603 |
| medicaid | ID | 805834800 | |
| medicaid | OR | 150695 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.