NPI 1194401505
Intermountain Eye and Laser Centers PLLC
Practice location
- Address
- 251 E Front St STE 110, Boise, ID 83702-7313
- Phone
- (208) 342-2706
- Mailing address
- 999 N Curtis Rd STE 205, Boise, ID 83706-1316
Authorised official
- Name
- Brent S Betts
- Title
- Partner
- Phone
- (801) 581-2352
Registered specialties (4)
Ophthalmology Physician
Primary
Optometrist
Glaucoma Specialist (Ophthalmology) Physician
Retina Specialist (Ophthalmology) Physician
Registry record
- NPI
- 1194401505
- Entity type
- Organization
- NPI issued
- 22 Jun 2023
- Record last updated
- 22 Jun 2023
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.