Provider Type Icon

OPTIGENICS LLC NPI 1780987164


NPI Information

NPI: 1780987164
Provider Name: OPTIGENICS LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1317 W RIVER ST
BOISE, ID
ZIP 83702
Phone: (208) 939-0100
Get Directions

OPTIGENICS LLC is a general practice in Boise, ID. OPTIGENICS LLC NPI is 1780987164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1317 W RIVER ST
BOISE, ID
ZIP 83702-857
Phone: (208) 939-0100
Fax: (208) 947-9925

The provider's authorized official is Zane Sterling .
The authorized official title is Owner and has the following contact phone number (208) 939-0100.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 12/7/2010.


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
1208D00000XGeneral PracticeYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.