Idaho Eyelid & Facial Plastic Surgery , Pllc
LBN: Idaho Eyelid & Facial Plastic Surgery , Pllc
Idaho Eyelid & Facial Plastic Surgery , Pllc is an health care organization with primary practice located at 111 W Main St Ste 200 , Boise ID 83702-7308. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Idaho Eyelid & Facial Plastic Surgery , Pllc can be contacted via phone (208) 344-3220, or through Boerner, Mark J via phone (208) 344-3220.
Contact Information
Primary practice address
111 W Main St Ste 200
Boise ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1255401436 |
|---|---|
| LBN Legal business name | Idaho Eyelid & Facial Plastic Surgery , Pllc |
| DBA Doing business as | |
| Authorized official | Boerner, Mark J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Apr 3rd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255401436 | NPPES |
| Idaho | Other | 8F488 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010027884 | BLUE CROSS OF IDAHO |
| Idaho | Other | CJ6700 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 806295400 | BLUE CROSS OF IDAHO |
Popular Providers
-
Maple Grove Eyecare Pc
8955 W Hackamore Dr , Boise ID 83709 -
Kay & Tabas Ophthalmology Associates
601 Walnut St Ste 210W , Philadelphia PA 19106-3323 -
Hollingshead Eye Center, Pc
360 E Mallard Dr Suite 110, Boise ID 83706-6644 -
Retina Specialists Of Idaho, Pllc
13923 W Wainwright Dr Suite 301, Boise ID 83713-1969 -
Intermountain Eye And Laser Centers Pllc
251 E Front St Ste 110 , Boise ID 83702-7313 -
Finger Lakes Ophthalmology, Pc
325 West St , Canandaigua NY 14424-1723 -
Intermountain Eye And Laser Centers Pllc
999 N Curtis Rd Ste 205 , Boise ID 83706-1316 -
Lawrence D Anderson Md Estate
8955 W Hackamore Dr , Boise ID 83709