Organization
LEAVITT VISION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH D LEAVITT (MANAGER)
(208) 863-0647
Entity
Organization
Contact information
Practice address
350 N MILWAUKEE ST STE 1188, BOISE, ID 83704-9128
(208) 376-0893
(208) 376-3029
Mailing address
350 N MILWAUKEE ST STE 1188, BOISE, ID 83704-9128
(208) 376-0893
(208) 376-3029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100165
ID
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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