COLE FAMILY EYE CENTER, PA (NPI# 1447540802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447540802 |
| Entity Type | Organization |
| Organization Name | COLE FAMILY EYE CENTER, PA |
| Other Organization Name | BOISE FAMILY EYE CENTER |
| Practice Address |
8102 W Northview St Boise ID 83704 |
| Mailing Address |
8102 W Northview St Boise ID 83704-4406 |
| Practice Telephone | 2083771102 |
| Practice Fax Number | 2083775853 |
| Mailing Telephone | 2083771102 |
| Mailing Fax Number | 2083775853 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | DR. BRENT A GALVAN (OWNER) |
| Authorized Official Telephone | 2083771102 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
ODP-100177 | ID | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Boise Family Eye Center | Doing Business As Name - Organization |
| Street Address |
8102 W NORTHVIEW ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285759753 | Brent Anthony Galvan | Optometrist | 8102 W Northview St, Boise, ID 83704-4406 | 2007-03-20 |
| 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 | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619185485 | Ada County Eyecare, P.C. | Optometrist | 2069 E Feldspar Ct, Boise, ID 83712-8456 | 2007-05-18 |
| 1285759753 | Brent Anthony Galvan | Optometrist | 8102 W Northview St, Boise, ID 83704-4406 | 2007-03-20 |
| 1194823930 | Deborah Ann Amato | Optometrist | 8641 W Franklin, Boise, ID 83709 | 2006-09-20 |
| 1821082470 | Lance F Ough | Optometrist | 350 N Milwaukee St, #2153, Boise, ID 83704-9123 | 2005-09-08 |
| 1033302161 | Rob Dee Christensen | Optometrist | 1410 Broadway Ave, Boise, ID 83706-3706 | 2007-08-22 |
| 1861408379 | D. H. Pitkin | Optometrist | 6700 W Emerald St, Boise, ID 83704-8727 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700163839 | Nicholas J Kelsey | Optometrist | 503 Broadway Ave S, Suite A, Buhl, ID 83316-1312 | 2011-11-03 |
| 1174524722 | Kenneth William King Jr. | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2005-08-04 |
| 1427256288 | Scott Burns Taylor | Optometrist | 1301 Main St, Suite 10, Salmon, ID 83467-4453 | 2007-07-03 |
| 1538388624 | Sparhawk Vision, Chtd | Optometrist | 2025 12th Ave Rd, Suite 100, Nampa, ID 83686-6459 | 2007-04-25 |
| 1225178593 | Douglass Eugene Hanson | Optometrist | 24 E Main St, Rexburg, ID 83440-1927 | 2007-02-07 |
| 1942316054 | Alan Richard Smith | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-08-22 |
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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.