INTERMOUNTAIN OCULAR PROSTHETICS, INC. (NPI# 1356352041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356352041 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN OCULAR PROSTHETICS, INC. |
| Practice Address |
2995 N Cole Rd Ste 115 Boise ID 83704-5965 |
| Practice Telephone | 2083788200 |
| Practice Fax Number | 2083789357 |
| Mailing Telephone | 2083788200 |
| Mailing Fax Number | 2083789357 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SAM F MURANO II (PRESIDENT) |
| Authorized Official Telephone | 2083788200 |
| Authorized Official Credential | BCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0005600854 | 05 | |
| OR | 278130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801997234 | Intermountain Ocular Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 2308 W Overland Rd, Boise, ID 83705-3152 | 2006-09-26 |
| Street Address |
2995 N COLE RD STE 115 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-5965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194350843 | Tristan Donovan Enright | Counselor | 2995 N Cole Rd, Boise, ID 83704-5964 | 2020-03-03 |
| 1740767714 | Rebecca Ermann | Counselor | 2995 N Cole Rd, Boise, ID 83704-5964 | 2018-07-23 |
| 1881138386 | Katherine E. Woodhouse | Social Worker | 2995 N Cole Rd, Suite 110, Boise, ID 83704-5964 | 2016-12-19 |
| 1194268169 | Molly and Me Counseling and Training Center | Community/Behavioral Health | 2995 N Cole Rd, Suite 115, Boise, ID 83704-5964 | 2016-11-23 |
| 1972974442 | Michelle Wilson | Counselor | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2015-10-09 |
| 1033599568 | Marsha Jt Oss | Counselor | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2015-05-29 |
| 1851788806 | Dara Mosca | Registered Nurse | 2995 N Cole Rd, Suite 270, Boise, ID 83704-5964 | 2015-04-16 |
| 1508197393 | Susan Kay Stumph | Psychologist | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2010-01-19 |
| 1578898334 | Mary L Morrisey | Counselor | 2995 N Cole Rd, #255, Boise, ID 83704-5964 | 2009-10-13 |
| 1104066059 | Heidi Aldous | Psychologist | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2009-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528211 | Live Well Cpap and Medical Supply | Durable Medical Equipment & Medical Supplies | 11513 W Fairview Ave Ste 103, Boise, ID 83713-7887 | 2019-10-05 |
| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1922599067 | Idaho Sleep Specialists, PC | Durable Medical Equipment & Medical Supplies | 403 S 11th St Ste 210, Boise, ID 83702-6968 | 2018-05-24 |
| 1548784036 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 901 N Curtis Rd Ste 101, Boise, ID 83706-1339 | 2017-07-27 |
| 1386198141 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1276 W River St Ste 138, Boise, ID 83702-7066 | 2016-08-10 |
| 1164843272 | Everything Cpap, LLC | Durable Medical Equipment & Medical Supplies | 1166 N Cole Rd, Suite D, Boise, ID 83704-8658 | 2013-12-17 |
| 1073945887 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3233 N Cole Rd, Boise, ID 83704-4402 | 2013-08-02 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.