Organization
INTERMOUNTAIN EYE AND LASER CENTERS PLLC
Active
Parent organization
INTERMOUNTAIN EYE AND LASER CENTERS PLLC
Other names
INTERMOUNTAIN EYE CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN EYE AND LASER CENTERS PLLC
Authorized official
BRENT S BETTS (PARTNER)
(801) 581-2352
Entity
Organization
Contact information
Practice address
251 E FRONT ST STE 110, BOISE, ID 83702-7313
(208) 342-2706
Mailing address
999 N CURTIS RD STE 205, BOISE, ID 83706-1316
(208) 373-1200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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