DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF IDAHO

Active Organization

STATE OF IDAHO is a Low Vision Rehabilitation Optometrist organization located in BOISE, Idaho. NPI 1801833454 is currently active in the NPPES registry. Verify at CMS.

Low Vision Rehabilitation Optometrist · BOISE, ID

Registration Details

NPI Number
1801833454
Provider Type
Organization
NPI Issued
Jun 1, 2006 (20.236153791608 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
120 S COLE RD
SUITE 120 - BLDG 3
BOISE, ID, 837090932
Browse ID providers · Browse ZIP 83709
Phone
2083343220
Fax
2083342963
Primary Specialty
Low Vision Rehabilitation Optometrist
152WL0500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.