Idaho Eye Pros of Boise

NPI #1427477793 in Boise, Idaho

Provider Information

NPI Number: 1427477793
Entity Type: Organization
Organization Name: Idaho Eye Pros of Boise
Primary Specialty: Optometrist
Enumeration Date: Apr 15, 2014
Last Updated: Apr 15, 2014

Practice Location

Address: 291 N MILWAUKEE ST
Address 2: SUITE A3
City: Boise
State: Idaho
ZIP Code: 83704-9132
Phone: (208) 297-7019

Authorized Official

Name: LAVAR W KOFOED, OD
Title: OWNER
Phone: (208) 378-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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