MRS. SUE SOROOR DIDEHBAN (NPI# 1588918676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588918676 |
| Entity Type | Individual |
| Full Name | MRS. SUE SOROOR DIDEHBAN |
| Practice Address |
7447 W Emerald St Ste 105 Boise ID 83704-5003 |
| Practice Telephone | 2083221642 |
| Practice Fax Number | 2083784179 |
| Mailing Telephone | 2083221642 |
| Mailing Fax Number | 2083784179 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
000666777S | ID | Eye and Vision Services Providers |
| Street Address |
7447 W EMERALD ST STE 105 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003393653 | Teri Fullmer | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2018-07-26 |
| 1891290235 | Emerald Optics LLC | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2018-03-27 |
| 1215309950 | Clarity Eyecare PC | Optometrist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2015-10-21 |
| 1710382460 | Jfk Vision Pllc | Optometrist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2014-10-23 |
| 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 | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467208 | Mathew Petersen | Technician/Technologist | 409 S 8th St, Boise, ID 83702-7142 | 2014-08-06 |
| 1508898065 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8641 W Franklin Rd, Boise, ID 83709-0632 | 2006-07-07 |
| 1477505485 | Shopko Stores Operating Co. LLC | Technician/Technologist | 2655 Broadway Ave, Boise, ID 83706-4721 | 2006-05-17 |
| 1982656096 | Shopko Stores Operating Co. LLC | Technician/Technologist | 8105 Fairview Ave, Boise, ID 83704-8486 | 2006-05-17 |
| 1003393653 | Teri Fullmer | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2018-07-26 |
| 1891290235 | Emerald Optics LLC | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2018-03-27 |
| 1164960084 | Jessi Jones-paisley | Technician/Technologist | 409 S 8th St, Boise, ID 83702-7142 | 2017-02-11 |
| 1386190411 | Marnee Overduyn | Technician/Technologist | 7905 W Ustick Rd, Ste E, Boise, ID 83704-5001 | 2016-08-29 |
| 1629420526 | Brad Linder | Technician/Technologist | 409 S 8th St Ste 101, Boise, ID 83702-7136 | 2016-07-05 |
| 1306298203 | Alma Tufeckcic | Technician/Technologist | 409 S 8th St Ste 101, Boise, ID 83702-7136 | 2016-07-05 |
| 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.