Gem State Family Eyecare, P.c.

NPI #1154690923 in Boise, Idaho

Provider Information

NPI Number: 1154690923
Entity Type: Organization
Organization Name: Gem State Family Eyecare, P.c.
Primary Specialty: Optometrist
Enumeration Date: Dec 22, 2011
Last Updated: Dec 22, 2011

Practice Location

Address: 3815 W STATE ST
City: Boise
State: Idaho
ZIP Code: 83703-5221
Phone: (208) 345-6886

Authorized Official

Name: DR. JENNIFER MARIE HOLMAN, O.D.
Title: PRESIDENT
Phone: (208) 345-6886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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