NPI age
18 years
Enumerated 2007-11-27
Across 74 active eyewear supplier providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | V0179 | BLUE CROSS OF IDAHO |
| 01 (ID) | 0000100159391 | REGENCE BLUESHIELD |
| 05 (ID) | 002692300 |
Single-site organization. Only one practice location on file.
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