Individual
LUKE KYLE HOPSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
999 N CURTIS RD, STE. 205, BOISE, ID 83706-1336
(208) 373-1200
Mailing address
999 N CURTIS RD, STE. 205, BOISE, ID 83706-1336
(208) 373-1200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2440
CO
152W00000X
Optometrist
Primary
ODP 100117
ID
Other
Enumeration date
12/29/2005
Last updated
02/19/2008
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