Individual
DR. TODD A. STEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13075 PERSIMMON LN SUITE A, BOISE, ID 83713
(208) 938-9900
(208) 939-9264
Mailing address
13075 PERSIMMON LN SUITE A, BOISE, ID 83713
(208) 938-9900
(208) 939-9264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-1022
ID
152WC0802X
Corneal and Contact Management Optometrist
ODP-1022
ID
152WP0200X
Pediatric Optometrist
ODP-1022
ID
152WS0006X
Sports Vision Optometrist
ODP-1022
ID
152WX0102X
Occupational Vision Optometrist
ODP-1022
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010137319
REGENCE BLUE SHIELD OF ID
ID
01
—
1902007263
GROUP NPI
ID
01
—
298349
ALTIUS
ID
01
—
40858
DAVIS VISION PIN
ID
01
—
8N117
BLUE CROSS OF IDAHO GROUP
ID
01
—
V5061
BLUECROSS OF IDAHO
ID
01
—
V7323
BLUE CROSS OF IDAHO
ID
Enumeration date
06/13/2006
Last updated
02/18/2008
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