Organization
MCNEEL EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J. MCNEEL O.D. (OWNER)
(208) 938-2010
Entity
Organization
Contact information
Practice address
13900 W WAINWRIGHT DR, SUITE 101, BOISE, ID 83713-1969
(208) 938-2010
Mailing address
13900 W WAINWRIGHT DR, SUITE 101, BOISE, ID 83713-1969
(208) 938-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP933
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004320800
—
ID
Enumeration date
04/22/2008
Last updated
05/07/2008
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