Doctors 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...
ID license #ODP-682taxonomy 152W00000X
Identifiers
Type
Value
Notes
01 (ID)
000010015463
BLUE SHIELD
01
6055070001
PTAN
01 (ID)
V5269
BLUE CROSS OF IDAHO
05 (ID)
806420300
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Vision Source Boise
Type code 3recorded 2021-10-07
Vision Specialties
Type code 3recorded 2008-02-18
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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