NPI 1124684485

Maple Grove Eyecare PC

Organisation Ophthalmology Physician Boise, ID

Practice location

Address: 8955 W Hackamore Dr, Boise, ID 83709
Phone: (208) 344-7944
Fax: (208) 343-4676
Mailing address: 8955 W Hackamore Dr, Boise, ID 83709-1673

Authorised official

Name: Matthew D Neale
Title: Practice Owner/Ophthalmologist
Phone: (541) 687-1715

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1124684485
Entity type: Organization
NPI issued: 13 May 2019
Record last updated: 13 May 2019

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.