NPI 1356542542

Vision Quest Medical Center, PA

Organisation Ophthalmology Physician Boise, ID

Practice location

Address: 5680 W Gage St, Boise, ID 83706-1326
Phone: (208) 377-3937
Fax: (208) 377-9455

Authorised official

Name: Cindy Lee Clancy
Title: Credentialing
Phone: (208) 377-3937

Registered specialties (3)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence O-0860 (ID)

Other Ophthalmology providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100002 (ID)

Other Optometrist providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100417 (ID)

Registry record

NPI: 1356542542
Entity type: Organization
NPI issued: 29 May 2007
Record last updated: 6 Apr 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.