Noble, Todd Anthony

Noble, Todd Anthony is an individual health care provider with primary practice located at 1926 W State St , Boise ID 83702-3957. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Noble, Todd Anthony can be contacted via phone (208) 336-2020.

Contact Information

Primary practice address
1926 W State St Boise ID 83702-3957
Phone: (208) 336-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-1032 Idaho

Profile Details

NPI number 1548268931
LBN Legal business name Noble, Todd Anthony
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 5th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548268931 NPPES
Idaho MEDICAID 8057916

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