Organization
VALLEY VISION CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ERNEST FAURE O.D. (PRESIDENT)
(208) 322-1771
Entity
Organization
Contact information
Practice address
10480 GARVERDALE CT, STE 806, BOISE, ID 83704
(208) 322-1771
(208) 377-9703
Mailing address
10480 GARVERDALE CT, STE 806, BOISE, ID 83704
(208) 322-1771
(208) 377-9703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3660
BLUE CROSS
ID
Enumeration date
06/18/2007
Last updated
08/22/2020
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