Individual
DR. TODD DONALD WINBIGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
939 W. BEACON ST, BOISE, ID 83706
(208) 344-8758
(208) 331-3379
Mailing address
939 W. BEACON ST, BOISE, ID 83706
(208) 344-8758
(208) 331-3379
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP718
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015349
BLUE SHIELD
ID
05
—
002622500
—
ID
01
—
1243380001
DMERC
ID
01
—
V6630
BLUE CROSS
ID
Enumeration date
01/30/2006
Last updated
03/12/2009
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