Oic Eye Care LLC

NPI #1699444794 in Boise, Idaho

Provider Information

NPI Number: 1699444794
Entity Type: Organization
Organization Name: Oic Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 10, 2021
Last Updated: Sep 10, 2021

Practice Location

Address: 8359 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8304
Phone: (360) 721-7293

Authorized Official

Name: VITALIY PELIKHATYY, OD
Title: PRESIDENT
Phone: (360) 721-7293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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