Eyecare Associates of Eastgate PA

NPI #1265589048 in Boise, Idaho

Provider Information

NPI Number: 1265589048
Entity Type: Organization
Organization Name: Eyecare Associates of Eastgate PA
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 4, 2007
Last Updated: Nov 29, 2011

Practice Location

Address: 939 W. BEACON ST
City: Boise
State: Idaho
ZIP Code: 83706-5118
Phone: (208) 344-8758

Authorized Official

Name: MRS. ANGELA WINBIGLER
Title: OFFICE MANAGER
Phone: (208) 344-8758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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