State of Idaho
State of Idaho provides Low Vision Rehabilitation Optometrist services in Boise, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
120 S Cole Rd Ste 120 - Bldg 3Boise, ID 83709-0932
Phone: (208) 334-3220
Fax: (208) 334-2963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Low Vision Rehabilitation Optometrist (primary) | Taxonomy 152WL0500X |
|---|
Record details
| NPI number | 1801833454 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Roan — Administrator · (208) 334-3220 |
| Other names | Idaho Commission For The Blind & Visually Impaired |
| NPI enumerated | June 1, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 120 S Cole Rd, Suite 120 - Bldg 3, Boise, ID 83709-0932 |