Ada Vision Center East Pllc

NPI #1548786098 in Boise, Idaho

Provider Information

NPI Number: 1548786098
Entity Type: Organization
Organization Name: Ada Vision Center East Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 16, 2017
Last Updated: Aug 1, 2024

Practice Location

Address: 230 W MALLARD DR STE A
City: Boise
State: Idaho
ZIP Code: 83706-3995
Phone: (208) 342-4841

Authorized Official

Name: RYAN DOUGLAS HUBER, OD
Title: MANAGER
Phone: (208) 514-1858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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