STATE OF IDAHO NPI 1801833454

NPI Information

STATE OF IDAHO is a low vision rehabilitation optometrist in Boise, ID. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. STATE OF IDAHO NPI is 1801833454. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Idaho Commission For The Blind & Visually Impaired.

The provider's business location address is:

120 S COLE RD
SUITE 120 - BLDG 3
BOISE, ID
ZIP 83709-932
Phone: (208) 334-3220
Fax: (208) 334-2963

The provider's authorized official is Angela Roan .
The authorized official title is Administrator and has the following contact phone number (208) 334-3220.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 8/22/2020.

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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