Individual
DR. JOHN HOWARD MUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1175 W BOISE AVE, BOISE, ID 83706-3503
(208) 384-9194
(208) 384-9327
Mailing address
1175 W BOISE AVE, BOISE, ID 83706-3503
(208) 384-9194
(208) 384-9327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-612
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002597500
—
ID
Enumeration date
10/03/2006
Last updated
06/29/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us