VISION QUEST MEDICAL CENTER, PA
NPI 1568664506
Ophthalmology in Meridian, ID

NPI Status: Active since June 01, 2007

Contact Information

3025 W CHERRY LN
SUITE 207
MERIDIAN, ID
ZIP 83642
Phone: (208) 898-1614
Fax: (208) 898-1618

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  • Organization
  • Ophthalmology
  • Accepts Insurance
  • CLIA Number: 13D1088678
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-01-2026

About VISION QUEST MEDICAL CENTER, PA

This page provides the complete NPI Profile along with additional information for Vision Quest Medical Center, Pa, a provider established in Meridian, Idaho operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1568664506 assigned on June 2007. The practitioner's primary taxonomy code is 207W00000X with license number O-0860 (ID). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Sonntag Eye Associates. The authorized official of this NPI record is Jacob Adam Mong Do (President)

NPI
1568664506
Provider Legal Name
VISION QUEST MEDICAL CENTER, PA
Other Organization Name
SONNTAG EYE ASSOCIATES
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3025 W CHERRY LN SUITE 207 MERIDIAN, ID 83642
Location Phone
(208) 898-1614
Location Fax
(208) 898-1618
Mailing Address
5680 W GAGE ST BOISE, ID 83706
Mailing Phone
(208) 377-3937
Mailing Fax
(208) 898-1618
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2007
Last Update Date
10-21-2021
Code Navigator

Ophthalmologists like Vision Quest Medical Center, Pa specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Secondary Locations

  • 2720 W Cherry Ln
    Meridian, ID 83642
    (208) 377-3937

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
O-0860
License State
ID
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

ODP-100002 (ID)
2152W00000XEye and Vision Services Providers

Optometrist

ODP-100417 (ID)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACOB ADAM MONG DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 377-3937

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000160500MEDICAID (05)ID 
46235OTHER (01)IDBLUE CROSS GROUP NO
807072200MEDICAID (05)ID 
001553800MEDICAID (05)ID 
806834700MEDICAID (05)ID 
807072300MEDICAID (05)ID 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D1088678
Facility Type
Physician Office
Certificate Effective Date
September 02, 2024
Certificate Expiration Date
September 01, 2026
Laboratory Director
JACOB A. MONG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vision Quest Medical Center, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VISION QUEST MEDICAL CENTER, PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568664506
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128126850
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 6 + 8 + 5 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1568664506 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114977824SAINT ALPHONSUS PHYSICIAN SERVICES INC
Organization
Family Medicine3025 W CHERRY LN SUITE B
MERIDIAN, ID 83642
(208) 367-8550
1619018926 DIANE M HULBERT CNM
Individual
Advanced Practice Midwife3025 W CHERRY LN SUITE B
MERIDIAN, ID 83642
(208) 367-8550
1477747632IDAHO HEART CARE
Organization
Internal Medicine (Cardiovascular Disease)3025 W CHERRY LN SUITE 205
MERIDIAN, ID 83642
(208) 367-8484
1194792473 ARLENE C HARTLEY PA-C
Individual
Physician Assistant3025 W CHERRY LN
MERIDIAN, ID 83642
(208) 367-8550
1750327797 REBECCA J GOODSPEED PA
Individual
Physician Assistant3025 W CHERRY LN SUITE B
MERIDIAN, ID 83642
(208) 302-6450
1407303340 OLIVIA ROCHELLE MANGEAC PA-C
Individual
Physician Assistant3025 W CHERRY LN SUITE B
MERIDIAN, ID 83642
(208) 302-6450
1710538251 JILL HARRIS PT
Individual
Physical Therapist3025 W CHERRY LN
MERIDIAN, ID 83642
(208) 376-8593
1104045392SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Organization
Clinic/Center (Physical Therapy)3025 W CHERRY LN SUITE D
MERIDIAN, ID 83642
(208) 367-8593

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568664506, enumerated in the NPI registry as an "organization" on June 01, 2007

The provider is located at 3025 W Cherry Ln Suite 207 Meridian, Id 83642 and the phone number is (208) 898-1614

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

The provider might be accepting Accepts: Mountain Health CO-OP, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 13D1088678 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.