Idaho Eyelid & Facial Plastic Surgery , Pllc in Boise - Ophthalmology
Idaho Eyelid & Facial Plastic Surgery , Pllc - NPI 1255401436
Idaho Eyelid & Facial Plastic Surgery , Pllc is a Ophthalmology in Boise, Idaho. Idaho Eyelid & Facial Plastic Surgery , Pllc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Idaho Eyelid & Facial Plastic Surgery , Pllc is 1255401436. The last update date is 2020-04-03.
Idaho Eyelid & Facial Plastic Surgery , Pllc's current location address is 111 W Main St Ste 200, Boise, Idaho. You can contact this provider via phone number 2083443220 and fax number 2083440461. The mailing address for Idaho Eyelid & Facial Plastic Surgery , Pllc is 111 W Main St Ste 200, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Eyelid & Facial Plastic Surgery , Pllc |
|---|---|
| Address | 111 W Main St Ste 200, Boise, Idaho |
| Phone Number | 2083443220 |
| Fax Number | 2083440461 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Boerner J Mark |
| Credentials | M.D. |
| Telephone Number | 2083443220 |
NPI Number Detail
| NPI Number | 1255401436 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-04-03 |
Provider Mailing Address Detail
| Address | 111 W Main St Ste 200 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837027308 |
| Phone Number | 2083443220 |
| Fax Number | 2083440461 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8F488 | ID | BLUE CROSS OF IDAHO | |
| 10027884 | ID | REGENCE BLUE SHIELD | |
| CJ6700 | ID | MEDICARE RR | |
| 806295400 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Idaho Eyelid & Facial Plastic Surgery , Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Idaho Eyelid & Facial Plastic Surgery , Pllc has been assigned the NPI (National Provider Identifier) 1255401436. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Idaho Eyelid & Facial Plastic Surgery , Pllc located?
The Idaho Eyelid & Facial Plastic Surgery , Pllc is located at 111 W Main St Ste 200, Boise, ID 837027308.
What is Idaho Eyelid & Facial Plastic Surgery , Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Idaho Eyelid & Facial Plastic Surgery , Pllc is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255401436 to Idaho Eyelid & Facial Plastic Surgery , Pllc?
The Idaho Eyelid & Facial Plastic Surgery , Pllc received its 1255401436 assignment from the Centers for Medicare & Medicaid Services on 2006-11-08.
When was the information regarding Idaho Eyelid & Facial Plastic Surgery , Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Idaho Eyelid & Facial Plastic Surgery , Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-04-03.
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