NPI age
19 years
Enumerated 2006-11-08
● Active Type 2 · Organization
Idaho Eyelid & Facial Plastic Surgery , Pllc
Idaho Eyelid & Facial Plastic Surgery , Pllc is 1 of 122 ophthalmology organizations in Idaho.
Primary specialty
Ophthalmology
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boerner
Owner
Last NPPES update
2020-04-03
Source: monthly bulk 2026-05
How this organization compares
Across 122 active ophthalmology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
111 W Main St Ste 200
Boise, ID 837027308
Mailing address
111 W Main St Ste 200
Boise, ID 837027308
Authorized official
Mark J Boerner, M.D.
Owner
📞 2083443220
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mark Boerner, M.D. Ophthalmology NPI 1003819459
- Chad Jackson, MD Ophthalmology NPI 1184067498
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
-
OptometristDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8F488 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010027884 | REGENCE BLUE SHIELD |
| 01 (ID) | CJ6700 | MEDICARE RR |
| 05 (ID) | 806295400 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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