Provider Demographics
NPI:1851411276
Name:ARNEL R BAIRD
Entity Type:Organization
Organization Name:ARNEL R BAIRD
Other - Org Name:20 20 OPTICAL & VISION CENTER, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:208-542-9155
Mailing Address - Street 1:11670 N 15TH E
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-5111
Mailing Address - Country:US
Mailing Address - Phone:208-542-9155
Mailing Address - Fax:
Practice Address - Street 1:301 S 4TH AVE
Practice Address - Street 2:C-2
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-6462
Practice Address - Country:US
Practice Address - Phone:208-637-0841
Practice Address - Fax:208-237-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDID ODP801152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID50065OtherDAVIS VISION
ID130136OtherNATIONAL VISION ADMIN.
IDV6986OtherBLUE CROSS
ID2276103OtherFIRST HEALTH
IDID 0801OtherEYEMED
IDID 00801OtherVISION BENEFITS OF AMERIC
IDID 00801OtherVISION BENEFITS OF AMERIC
IDV6986OtherBLUE CROSS
ID130136OtherNATIONAL VISION ADMIN.