OPTIGENICS LLC (NPI# 1780987164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780987164 |
| Entity Type | Organization |
| Organization Name | OPTIGENICS LLC |
| Practice Address |
1317 W River St Boise ID 83702-6857 |
| Practice Telephone | 2089390100 |
| Practice Fax Number | 2089479925 |
| Mailing Telephone | 2089390100 |
| Mailing Fax Number | 2089479925 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | ZANE STERLING (OWNER) |
| Authorized Official Telephone | 2089390100 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1317 W RIVER ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881074201 | Lindsey Wells | General Practice | 2537 W State St Ste 110, Boise, ID 83702-2200 | 2015-06-01 |
| 1265824312 | Drugshield Inc | General Practice | 3085 N Cole Rd, Ste 108, Boise, ID 83704-5968 | 2015-02-26 |
| 1487926564 | Boise Image Enhancement Centre, Inc. | General Practice | 9382 W Overland Rd, Boise, ID 83709-2505 | 2012-02-03 |
| 1932411576 | Isara Group Inc. | General Practice | 702 W Idaho St, Suite 1100, Boise, ID 83702-8901 | 2010-07-12 |
| 1205819950 | Kirk A. Campana | General Practice | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2005-11-28 |
| 1285262246 | Olivia Nicole Roehling | General Practice | 500 W Fort St, Mailstop #111r, Boise, ID 83702-4501 | 2020-03-27 |
| 1285971416 | Children's Home Society of Idaho | General Practice | 740 E Warm Springs Ave, Boise, ID 83712-6420 | 2013-01-08 |
| 1104179670 | Zldmd Pllc | General Practice | 6000 W Overland Rd, Boise, ID 83709-3013 | 2012-10-22 |
| 1639481286 | Nomsiri Group Inc | General Practice | 950 W Bannock St, Suite 1100, Boise, ID 83702-5999 | 2010-07-12 |
| 1073757308 | James Hunter Schrader | General Practice | 190 E Bannock St, St. Luke's Internal Medicine, Boise, ID 83712-6241 | 2009-04-30 |
| 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.