Bruce W Hamerl O D P C
Optometrist in Boise, ID. Organization (NPI-2).
NPI number1801001979
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1801001979
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruce W Hamerl O D P C
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | ODP-847 | ID | Yes |
Practice location
8300 W Overland RdBoise, ID 83709-1639
Phone 208-321-9082 · Fax 208-321-9179
Mailing address
3384 S Coleridge PlBoise, ID 83706-5584
Phone 208-321-9082 · Fax 208-321-9179
Authorized official
Bruce Hamerl
President
2083219082
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