Organization
COLE FAMILY EYE CENTER, PA
Active
Other names
Boise Family Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A GALVAN O.D. (OWNER)
(208) 377-1102
Entity
Organization
Contact information
Practice address
8102 W NORTHVIEW ST, BOISE, ID 83704
(208) 377-1102
(208) 377-5853
Mailing address
8102 W NORTHVIEW ST, BOISE, ID 83704-4406
(208) 377-1102
(208) 377-5853
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-100177
ID
Other
Enumeration date
04/19/2011
Last updated
12/31/2013
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