NPI 1023306966

Paul Christian Neville, OD

Practitioner Optometrist Boise, ID

Practice location

Address: 305 E Jefferson St, Boise, ID 83712-6273
Phone: (208) 381-6910
Mailing address: 570 W Buroak Dr, Meridian, ID 83642-4922

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT-2854 (CO)

Other Optometrist providers in Idaho →

Registry record

NPI: 1023306966
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2011
Record last updated: 29 Aug 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.