| NPI | 1902007263 |
|---|---|
| Doing Business As | BOISE MOUNTAIN EYECARE |
| Entity Type | Organization |
| Authorized Contact | TODD A STEBEL Owner 208-938-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-1022) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ID ODP-1027) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-06-04 |