NPI 1265589048

Eyecare Associates of Eastgate PA

Organisation Eyewear Supplier Boise, ID

Practice location

Address: 939 W. Beacon St, Boise, ID 83706-5118
Phone: (208) 344-8758
Fax: (208) 331-3379

Authorised official

Name: Angela Winbigler
Title: Office Manager
Phone: (208) 344-8758

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence ODP-718 (ID)

Other Eyewear Supplier providers in Idaho →

Registry record

NPI: 1265589048
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 29 Nov 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.