Vision Quest Medical Center, Pa

  • 1568664506 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, NPI number for Vision Quest Medical Center, Pa is 1568664506 and actived since Friday, June 1 2007. Vision Quest Medical Center, Pa is an Organization provider specializes in Optometrist. Provider information was last updated on 11/29/2017.

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Overview of Vision Quest Medical Center, Pa

  • NPI number: 1346881877
  • Provider type: Organization
  • Specialty: Optometrist
  • Active since: 06/01/2007
  • Last updated: 11/29/2017

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100417
  • License State: ID

Provider Mailing Address

  • Address: 5680 W Gage St
    Boise, ID 83706
  • Phone: 208-377-3937
  • Fax: 208-377-9455

Provider Practice Location

  • Address: 3025 W Cherry Ln
    Suite 207
    Meridian, ID 83642
  • Phone: 208-898-1614
  • Fax: 208-898-1618

Authorized Official

  • Name: Jacob Adam Mong DO
  • Position/Title: President
  • Telephone Number: 208-377-3937

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100417
  • License State: ID
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 000160500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Vision Quest Medical Center, Pa?
  • A: The npi number for Vision Quest Medical Center, Pa is 1568664506.
  • Q: What are Vision Quest Medical Center, Pa's specialties?
  • A: Vision Quest Medical Center, Pa's specialties are Optometrist and different specialities.
  • Q: Where is Vision Quest Medical Center, Pa business practice location?
  • A: Vision Quest Medical Center, Pa business practice location is 3025 W Cherry Ln, Meridian, ID 83642.
  • Q: How to contact Vision Quest Medical Center, Pa?
  • A: You can contact Vision Quest Medical Center, Pa via 208-898-1614.
  • Q: What is the authorized official for Vision Quest Medical Center, Pa?
  • A: The authorized office name is Jacob Adam Mong DO with position/title is President and you can reach the authorized official via phone number 2083773937.