Idaho Eyecare Center

NPI #1992899181 in Boise, Idaho

Provider Information

NPI Number: 1992899181
Entity Type: Organization
Organization Name: Idaho Eyecare Center
Primary Specialty: Optometrist
Enumeration Date: Oct 3, 2006
Last Updated: Jun 15, 2023

Practice Location

Address: 1175 W BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706-3503
Phone: (208) 384-9194

Authorized Official

Name: JOHN HOWARD MUTO, O.D.
Title: PRESIDENT
Phone: (208) 384-9194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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