Individual
ANDREW BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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-100594
ID
Other
Enumeration date
03/06/2023
Last updated
04/29/2025
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