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1992899181
IDAHO EYECARE CENTER
BOISE, ID
NPI
1992899181
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Entity Type
Organization
Authorized Contact
JOHN HOWARD MUTO
President
208-384-9194
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-612)
Enumeration Date
2006-10-03
Last Update Date
2023-06-15
Business Address
IDAHO EYECARE CENTER
1175 W BOISE AVE
BOISE, ID 83706-3503
Phone number: 208-384-9194
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Mailing Address
IDAHO EYECARE CENTER
1175 W BOISE AVE
BOISE, ID 83706-3503
Phone number: 208-384-9194
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