NPI Registry.org

Idaho Retina Center Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
IDAHO RETINA CENTER PLLC13064004292021-08-26

The organization Idaho Retina Center Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1306400429. Registration indicates Idaho Retina Center Pllc is a provider of access to ophthalmic care services with a specialization in Allopathic & Osteopathic Physicians, Ophthalmology (Allopathic & Osteopathic Physicians, Ophthalmology) (Ophthalmology, ) (Vision/Audiology, ) (Ophthalmology, Allopathic & Osteopathic Physicians)

Entity TypeOrganization
Provider OrganizationIDAHO RETINA CENTER PLLC
Practice Office Address901 N CURTIS RD STE 302
BOISE, ID US
Practice Office Telephone2484959553
Mailing Address901 N CURTIS RD STE 302
BOISE, ID 837061341 US
Business Telephone2083225996
Authorized OfficialALI TORAB PARHIZ, MD
2083225996
Offices / Locations
AddressCity / StatePhone / Fax
16211 N Brinson St Ste 140 Nampa, ID 836875521 2083225996
HPT Codes
CodePractice
License No
State
207W00000X PRIMARYAccess to Ophthalmic Care
Allopathic & Osteopathic Physicians
Ophthalmology
Allopathic & Osteopathic Physicians
Ophthalmology
Ophthalmology

Vision/Audiology

Ophthalmology
Allopathic & Osteopathic Physicians
193400000X SINGGroup Code
OPI Codes
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