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BOISE MOUNTAIN EYE ASSOCIATES P.C. NPI 1902007263


NPI Information

NPI: 1902007263
Provider Name: BOISE MOUNTAIN EYE ASSOCIATES, P.C.

Doing Business As: BOISE MOUNTAIN EYECARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
13075 PERSIMMON LN., SUITE A
BOISE, ID
ZIP 83713
Phone: (208) 938-9900
Get Directions

BOISE MOUNTAIN EYE ASSOCIATES, P.C. is an optometrist in Boise, ID. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BOISE MOUNTAIN EYE ASSOCIATES, P.C. NPI is 1902007263. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Boise Mountain Eyecare.

The provider's business location address is:

13075 PERSIMMON LN., SUITE A
BOISE, ID
ZIP 83713-078
Phone: (208) 938-9900
Fax: (208) 939-9264

The provider's authorized official is Todd A Stebel .
The authorized official title is Owner and has the following contact phone number (208) 938-9900.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 2/18/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristODP-1027IDAHONo
2152W00000XOptometristODP-1022IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11144263963OTHERIDAHONPI-DR. TODD STEBEL
21982654612OTHERIDAHONPI - DR. HOLLY STEBEL
34605460001MEDICARE NSCIDAHO
41370058MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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