Organization
BOISE VISION CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R. BOESPFLUG O.D. (PRESIDENT)
(208) 322-2020
Entity
Organization
Contact information
Practice address
3293 N MILWAUKEE ST, BOISE, ID 83704-4446
(208) 322-2020
(208) 322-1192
Mailing address
3293 N MILWAUKEE ST, BOISE, ID 83704-4446
(208) 322-2020
(208) 322-1192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-683
ID
332H00000X
Eyewear Supplier
ODP-683
ID
Other
Enumeration date
11/28/2006
Last updated
08/09/2010
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