Organization · Type 2 NPI
Eyecare Associates of Eastgate PA
Eyewear Supplier · Boise, ID
NPI number
1265589048
Active
Practice location
939 W. Beacon St
Boise, ID 83706-5118
Fax (208) 331-3379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | ODP-718 (ID) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1265589048
Eyecare Associates of Eastgate PA's National Provider Identifier is 1265589048, issued on Jan 4, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Boise, ID. The record was last updated on Nov 29, 2011.