DIDEHBANS LIMITED (NPI# 1720297070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720297070 |
| Entity Type | Organization |
| Organization Name | DIDEHBANS LIMITED |
| Other Organization Name | PEARLEVISION |
| Practice Address |
7447 W Emerald St #105 Boise ID 83704 |
| Practice Telephone | 2083221642 |
| Practice Fax Number | 2083784178 |
| Mailing Telephone | 2083221642 |
| Mailing Fax Number | 2083784178 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUE DIDEHBAN (PRESIDENT OWNER FRANCHASIE) |
| Authorized Official Telephone | 2084611000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
A7965 | IL | Eye and Vision Services Providers |
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
25009 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | EYEMED | 102190 | 01 |
| ID | BLUE CROSS BLUE SHIELD | 00010015156 | 01 |
| Other Name | Type Code |
|---|---|
| Pearlevision | Doing Business As Name - Organization |
| Street Address |
7447 W EMERALD ST #105 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063852119 | Paul Linford Bingham | Optometrist | 7447 W Emerald St, Ste 105, Boise, ID 83704-5003 | 2013-07-02 |
| 1598050098 | Michelle Thompson | Massage Therapist | 7447 W Emerald St, Ste 150, Boise, ID 83704-5003 | 2011-06-13 |
| 1013202522 | Lauren Wek | Massage Therapist | 7447 W Emerald St, Ste 150, Boise, ID 83704-5003 | 2011-06-13 |
| 1114212719 | Osc Group | Massage Therapist | 7447 W Emerald St, Ste. 150, Boise, ID 83704-5003 | 2011-06-13 |
| 1386939882 | Aaron Wise | Massage Therapist | 7447 W Emerald St, Ste 150, Boise, ID 83704-5003 | 2011-06-13 |
| 1396030896 | Kylee Swetland | Massage Therapist | 7447 W Emerald St, Ste 150, Boise, ID 83704-5003 | 2011-06-13 |
| 1992090492 | Kessie Gummersall | Massage Therapist | 7447 W Emerald St, Ste 150, Boise, ID 83704-5003 | 2011-06-13 |
| 1508151002 | Bibiana Arias | Massage Therapist | 7447 W Emerald St, Ste 150, Boise, ID 83704-5003 | 2011-06-13 |
| 1316273915 | Brittany Colette Anderson | Mechanotherapist | 7447 W Emerald St, Suite 150, Boise, ID 83704-5003 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 156FC0800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens |
| An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.