Boise Vision Care, P.a.

NPI #1134295116 in Boise, Idaho

Provider Information

NPI Number: 1134295116
Entity Type: Organization
Organization Name: Boise Vision Care, P.a.
Primary Specialty: Optometrist
Enumeration Date: Nov 28, 2006
Last Updated: Aug 9, 2010

Practice Location

Address: 3293 N MILWAUKEE ST
City: Boise
State: Idaho
ZIP Code: 83704-4446
Phone: (208) 322-2020

Authorized Official

Name: DR. DANIEL R. BOESPFLUG, O.D.
Title: PRESIDENT
Phone: (208) 322-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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