Organization
PRIMARY EYECARE INC
Active
Other names
Lifetime Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C MURRAY (OWNER)
(208) 672-1370
Entity
Organization
Contact information
Practice address
10454 W OVERLAND RD, BOISE, ID 83709-1433
(208) 672-1370
(208) 672-1404
Mailing address
10454 W OVERLAND RD, BOISE, ID 83709-1433
(208) 672-1370
(208) 672-1404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-782
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806071300
—
ID
Enumeration date
06/19/2007
Last updated
08/03/2009
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