Mark J Boerner is a Ophthalmology in Boise, Idaho. Mark J Boerner practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mark J Boerner is 1003819459. The last update date is 2020-04-15.
Mark J Boerner's current location address is 111 W Main St, Boise, Idaho. You can contact this provider via phone number 2083443220 and fax number 2083440461. The mailing address for Mark J Boerner is 111 W Main St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Boerner |
|---|---|
| Address | 111 W Main St, Boise, Idaho |
| Phone Number | 2083443220 |
| Fax Number | 2083440461 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003819459 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2020-04-15 |
Provider Mailing Address Detail
| Address | 111 W Main St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 8370273080 |
| Phone Number | 2083443220 |
| Fax Number | 2083440461 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | M7206 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180038677 | ID | RAILROAD MEDICARE | |
| 804243800 | ID | -- | |
| J5164 | ID | BLUE CROSS | |
| 10002554 | ID | REGENCE BLUE SHIELD | |
| 1317920001 | ID | DMERC |
Post Comment/ Review Below
What is the unique identifier code issued to Mark J Boerner by the Centers for Medicare & Medicaid Services?
The Mark J Boerner has been assigned the NPI (National Provider Identifier) 1003819459. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark J Boerner is geographically located?
The Mark J Boerner is physically situated at the following location: 111 W Main St, Boise, ID, 8370273080.
What is the Mark J Boerner's specialty and taxonomy code?
The Mark J Boerner's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date was the 1003819459 assigned to Mark J Boerner?
The Mark J Boerner was issued its 1003819459 on 2005-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark J Boerner most recently updated or refreshed?
The details pertaining to the Mark J Boerner, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-04-15.