Oic Eye Care Llc | |
8359 W Emerald St, Boise, ID 83704-8304 | |
(360) 721-7293 | |
Not Available |
Full Name | Oic Eye Care Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 8359 W Emerald St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699444794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Vitaliy Pelikhatyy |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740515824 PECOS PAC ID: 1557517356 Enrollment ID: I20230720003733 |
Mailing Address | Practice Location Address |
---|---|
Oic Eye Care Llc 2925 S Givens Way, Meridian, ID 83642-9171 Ph: () - | Oic Eye Care Llc 8359 W Emerald St, Boise, ID 83704-8304 Ph: (360) 721-7293 |
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