NPI 1013212133

Custom Vision Care Associates PA

Organisation Ophthalmology Physician Nampa, ID

Practice location

Address: 1615 12th Ave Rd STE B, Nampa, ID 83686-6184
Phone: (208) 498-1700

Authorised official

Name: Jorge a Martinez
Title: Physician Owner
Phone: (208) 498-1700

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1013212133
Entity type: Organization
NPI issued: 20 Jan 2011
Record last updated: 20 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.