institution
Didehbans Limited
Optician in Boise, Idaho
NPI 1720297070

Didehbans Limited is a Optician based in Boise, ID and is specialized in Optician. Didehbans Limited practices in Boise, ID. The NPI Number for Didehbans Limited is 1720297070 and holds a License No. A7965 (Idaho).

The current practice location address for Didehbans Limited is 7447 W Emerald St, Boise, ID and can be reached out via phone at 208-322-1642 and via fax at 208-378-4178.

Location: 7447 W Emerald St, Boise, ID, 83704
institution
Provider Profile Details
NPI Number
1720297070
Provider Name
Didehbans Limited
Credential
Provider Entity Type
Organization
Address
7447 W Emerald St, Boise, ID, 83704
Phone Number
208-322-1642
Fax Number
208-378-4178
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00010015156 01 ID BLUE CROSS BLUE SHIELD
102190 01 ID EYEMED
institution
Provider Business Practice Location Address Details
Address
7447 W Emerald St
City
State
Zip
83704
Phone Number
208-322-1642
Fax Number
208-378-4178
person
Provider Business Mailing Address Details
Address
7447 W Emerald St
City
State
Zip
83704
Phone Number
208-322-1642
Fax Number
208-378-4178
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
License No.
25009 (Illinois)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
A7965 (Illinois)
Definition
Definition to come...
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