NPI 1023131927

J. Randall Pitman & Associates, P.C.

Organisation Optometrist Boise, ID

Practice location

Address: 2051 S Cole Rd, Boise, ID 83709-2815
Phone: (208) 672-1200
Fax: (208) 321-8728
Mailing address: 8577 W Pool CT, Boise, ID 83714-1797

Authorised official

Name: John Randall Pitman
Title: President
Phone: (208) 672-1200

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-715 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1023131927
Entity type: Organization
NPI issued: 8 Apr 2007
Record last updated: 3 Feb 2008

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.