Organization
ADA COUNTY EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M. POLATIS O.D. (PRESIDENT)
(208) 869-1965
Entity
Organization
Contact information
Practice address
2069 E FELDSPAR CT, BOISE, ID 83712-8456
(208) 869-1965
(208) 345-1137
Mailing address
2069 E FELDSPAR CT, BOISE, ID 83712-8456
(208) 869-1965
(208) 345-1137
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-900
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804046000
—
ID
Enumeration date
05/18/2007
Last updated
03/07/2023
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