Organization · Type 2 NPI

Eye Care Northwest PA

Health Service Clinic/Center · Ontario, OR

NPI number 1083743447 Active

Practice location

251 SW 19th St
Ontario, OR 97914-1972

Call (208) 639-2542 Map

Fax (201) 300-0138

Mailing address

2663 E Parkriver Dr
Boise, ID 83706-6083

Other practice locations

2620 S Eagle Rd, Meridian, ID 83642-6704 · (208) 639-2542

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

NPI record

NPI: 1083743447
Entity type: Organization (Type 2)
Issued: Mar 3, 2007
Last updated: Feb 11, 2021
Status: Active

Other names

<unavail>
Jeffrey Liegner, MD · doing business as
Jeffrey Liegner, MD · doing business as

Authorized official

Jeffrey Todd Liegner, MD
Medical Director
(208) 639-2542

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083743447

Eye Care Northwest PA's National Provider Identifier is 1083743447, issued on Mar 3, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Ontario, OR. The record was last updated on Feb 11, 2021.