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Organization

DIDEHBANS LIMITED

Active
Other names
Pearlevision
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUE DIDEHBAN (PRESIDENT OWNER FRANCHASIE)
(208) 461-1000
Entity
Organization

Contact information

Practice address
7447 W EMERALD ST, #105, BOISE, ID 83704
(208) 322-1642
(208) 378-4178
Mailing address
7447 W EMERALD ST, #105, BOISE, ID 83704
(208) 322-1642
(208) 378-4178

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
A7965
IL
156FX1800X
Optician
25009
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010015156
BLUE CROSS BLUE SHIELD
ID
01
102190
EYEMED
ID
Enumeration date
05/22/2007
Last updated
09/11/2025
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