NPI | 1447540802 |
---|---|
Doing Business As | BOISE FAMILY EYE CENTER |
Entity Type | Organization |
Authorized Contact | BRENT A GALVAN Owner 208-377-1102 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: ID ODP-100177) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2013-12-31 |