ARTISAN PEDIATRIC EYECARE LLC

BOISE, ID
NPI1487128823
Entity TypeOrganization
Authorized ContactJEFFREY C JOHNSON
Manager
208-489-1477
Organization Subpart ?No
Primary Taxonomy152WP0200X Optometrist, Pediatrics
Additional Taxonomies152WS0006X Optometrist, Sports Vision
152WV0400X Optometrist, Vision Therapy
152WX0102X Optometrist, Occupational Vision
Enumeration Date2019-01-18
Last Update Date2019-01-18
Business Address
ARTISAN PEDIATRIC EYECARE LLC
7960 W RIFLEMAN ST STE 110
BOISE, ID 83704-9064
Phone number: 208-489-1477
Mailing Address
ARTISAN PEDIATRIC EYECARE LLC
152 N AL FRESCO PL
BOISE, ID 83712-7599
Phone number: 208-866-9455