institution
Eyecare Associates Of Eastgate Pa
Eyewear Supplier in Boise, Idaho
NPI 1265589048

Eyecare Associates Of Eastgate Pa is a Eyewear Supplier based in Boise, ID. Eyecare Associates Of Eastgate Pa practices in Boise, ID. The NPI Number for Eyecare Associates Of Eastgate Pa is 1265589048 and holds a License No. ODP-718 (Idaho).

The current practice location address for Eyecare Associates Of Eastgate Pa is 939 W. Beacon St, Boise, ID and can be reached out via phone at 208-344-8758 and via fax at 208-331-3379.

Location: 939 W. Beacon St, Boise, ID, 83706-5118
institution
Provider Profile Details
NPI Number
1265589048
Provider Name
Eyecare Associates Of Eastgate Pa
Credential
Provider Entity Type
Organization
Address
939 W. Beacon St, Boise, ID, 83706-5118
Phone Number
208-344-8758
Fax Number
208-331-3379
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002622500 05 ID
V6622 01 ID BLUE CROSS
000010015349 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
939 W. Beacon St
City
State
Zip
83706-5118
Phone Number
208-344-8758
Fax Number
208-331-3379
person
Provider Business Mailing Address Details
Address
939 W. Beacon St
City
State
Zip
83706-5118
Phone Number
208-344-8758
Fax Number
208-331-3379
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
ODP-718 (Idaho)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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