Cole Family Eye Center, PA
Optometrist, Corneal and Contact Management in Boise, ID. Organization (NPI-2).
NPI number1447540802
StatusActive
Last updated in NPPESDec 31, 2013
Details
- NPI
- 1447540802
- Entity type
- Organization (NPI-2)
- Legal business name
- Cole Family Eye Center, PA
- Organization subpart
- No
- Enumeration date
- Apr 19, 2011
- Last updated
- Dec 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WC0802X | Optometrist, Corneal and Contact Management | ODP-100177 | ID | Yes |
Other names
- Boise Family Eye Center (Doing Business As)
Practice location
8102 W Northview StBoise, ID 83704
Phone 208-377-1102 · Fax 208-377-5853
Mailing address
8102 W Northview StBoise, ID 83704-4406
Phone 208-377-1102 · Fax 208-377-5853
Authorized official
Brent A Galvan
Owner
2083771102
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