Retina Specialists Of Idaho, Pllc in Boise - Ophthalmology

Retina Specialists Of Idaho, Pllc - NPI 1366607996

Retina Specialists Of Idaho, Pllc is a Ophthalmology in Boise, Idaho. Retina Specialists Of Idaho, Pllc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Retina Specialists Of Idaho, Pllc is 1366607996. The last update date is 2012-04-10.

Retina Specialists Of Idaho, Pllc's current location address is 13923 W Wainwright Dr, Boise, Idaho. You can contact this provider via phone number 2089385624 and fax number 2089385764. The mailing address for Retina Specialists Of Idaho, Pllc is 13923 W Wainwright Dr, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Retina Specialists Of Idaho, Pllc
Address 13923 W Wainwright Dr, Boise, Idaho
Phone Number 2089385624
Fax Number 2089385764
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Roberts R. Denton
Credentials M.D.
Telephone Number 2089385624

NPI Number Detail

NPI Number 1366607996
Provider Enumeration Date 2008-07-23
Last Updated Date 2012-04-10

Provider Mailing Address Detail

Address 13923 W Wainwright Dr
City Boise
State Idaho (ID)
Post Code 837131969
Phone Number 2089385624
Fax Number 2089385764

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No M-10066
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
808025900 ID --

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FAQs about Retina Specialists Of Idaho, Pllc

What is the unique 10-digit identifier code issued to Retina Specialists Of Idaho, Pllc by the Centers for Medicare & Medicaid Services?

The Retina Specialists Of Idaho, Pllc has been assigned the NPI (National Provider Identifier) 1366607996 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Retina Specialists Of Idaho, Pllc's facilities are situated?

The facilities of Retina Specialists Of Idaho, Pllc are physically located at the following address: 13923 W Wainwright Dr, Boise, ID, 837131969.

What is the Retina Specialists Of Idaho, Pllc's area of specialization and corresponding taxonomy classification?

The Retina Specialists Of Idaho, Pllc's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.

When did Retina Specialists Of Idaho, Pllc receive its 1366607996 assignment?

The Retina Specialists Of Idaho, Pllc was assigned its 1366607996 on 2008-07-23, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Retina Specialists Of Idaho, Pllc last refreshed?

The information related to the Retina Specialists Of Idaho, Pllc, including its address, specialty, and other relevant details, was last updated on 2012-04-10.

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