NPI 1013534890

Brent Sexauer, OD

Practitioner Optometrist Boise, ID

Practice location

Address: 1175 W Boise Ave, Boise, ID 83706-3503
Phone: (208) 384-9194
Mailing address: 685 N 4th E, Mountain Home, ID 83647-2134

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 100508 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1013534890
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2020
Record last updated: 29 Jun 2020

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.