Peabody Optical

NPI 1255757738 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1255757738
Enumeration Date 03/08/2014
Last Updated 05/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Position MEMBER
Phone (208) 344-1390
Practice Location
409 S 8TH ST STE 101
BOISE ID, 83702-7136, US
Phone (208) 344-1390
Business Location
9720 S 1300 E STE E200
SANDY UT, 84094-3768, US
Phone (801) 576-6433
Fax (801) 576-5643
Taxonomy Code 332H00000X
License State
License Number
Remove 1255757738 NPI Number

According to our database, Peabody Optical NPI is 1255757738, taxonomy code is 332H00000X Peabody Optical physically located at 409 S 8th St Ste 101, Boise ID, 83702-7136. NPI Number 1033115704 has the healthcare provider type.

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1255757738 NPI number is provided on an as is basis without warranty of any kind. 1255757738 is maintained by the National Plan & Provider Enumeration System. The contents of Peabody Optical are for informational purposes only.