NPI 1588918676

Sue Soroor Didehban

Practitioner Optician Boise, ID

Practice location

Address: 7447 W Emerald St STE 105, Boise, ID 83704-5003
Phone: (208) 322-1642
Fax: (208) 378-4179

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 000666777S (ID)

Other Technician/Technologist providers in Idaho →

Registry record

NPI: 1588918676
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2012
Record last updated: 29 Oct 2012

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.