Vision Quest Medical Center, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VISION QUEST MEDICAL CENTER, PA

Practice address

8955 W Hackamore Dr
Boise, ID 83709-1673

Phone

(208) 377-3937

Fax

(208) 377-9455

NPI assigned

Aug 7, 2019

Last updated

Aug 7, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy L Clancy

Title

Practice Administrator

Phone

(208) 377-3937

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vision Quest Medical Center, PA

  • Ophthalmology Physician
  • Boise, ID
  • NPI 1356542542

  O20171220000841

  Same enrollment
• Vision Quest Medical Center, PA

  • Ophthalmology Physician
  • Meridian, ID
  • NPI 1568664506

  O20171220000841

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1790330637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 W GAGE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061326",
            "telephone_number": "208-377-3937",
            "fax_number": "208-377-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091673",
            "telephone_number": "208-377-3937",
            "fax_number": "208-377-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION QUEST MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-377-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scheduling@visionquestmedical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "8955 W Hackamore Dr",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837091673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Virtual Radiology Associates LLC
• Vision One Inc (Vision One)
• Vision Quest Medical Center, PA
• Vision Quest Medical Center, PA
• Vision Quest Medical Center, PA
• Visions Counseling & Education, LLC
• Visionworks, Inc. (Visionworks)
• Juliann C Visser, PA-C
• Vista Chiropractic
• Vitam PLLC

• Ophthalmology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.