Organization
IDAHO PHYSICIANS EYECARE GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA JACKSON (SENIOR REVENUE CYCLE MANAGER)
(561) 208-1591
Entity
Organization
Contact information
Practice address
1700 W KARCHER RD, NAMPA, ID 83651-1531
(208) 606-0374
(208) 318-1837
Mailing address
PO BOX 24686, NEW YORK, NY 10087-4686
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
06/22/2026
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