ARTISAN PEDIATRIC EYECARE LLC NPI 1487128823

NPI Information

ARTISAN PEDIATRIC EYECARE LLC is a pediatrics optometrist in Boise, ID. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. ARTISAN PEDIATRIC EYECARE LLC NPI is 1487128823. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7960 W RIFLEMAN ST STE 110
BOISE, ID
ZIP 83704-064
Phone: (208) 489-1477

The provider's authorized official is Jeffrey C Johnson .
The authorized official title is Manager and has the following contact phone number (208) 489-1477.

The enumeration date for this NPI number is 1/18/2019 and was last updated on 1/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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