John Muto (NPI# 1912091174, PAC ID# 6103882188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1912091174 |
PAC ID by PECOS | 6103882188 |
Professional Enrollment ID | I20100818000193 |
Full Name | John Muto |
Organization Legal Name | IDAHO EYE CARE CENTER |
Address |
1175 W Boise Ave Boise ID 83706-3503 |
Phone Number | 2083849194 |
Gender | M |
Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
Graduation Year | 1979 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 9335105311 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1175 W Boise Ave, Boise, ID 83706-3503 | 2083849194 | IDAHO EYE CARE CENTER |
Organization Legal Name | IDAHO EYE CARE CENTER |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tiffany R Risner | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Matthew Alexander Muto | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Derek George Muto | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Steven O Davis | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Street Address |
1175 W BOISE AVE |
City | BOISE |
State | ID |
Zip | 83706-3503 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tiffany R Risner | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Matthew Alexander Muto | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Derek George Muto | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Steven O Davis | Optometry | Idaho Eye Care Center | 1175 W Boise Ave, Boise, ID 83706-3503 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sharon L Saul | Clinical Social Worker | 3350 Americiana Blvd, Suite 210b, Boise, ID 83706 | |
Afshin Mofid | Chiropractic | 880 N Curtis Rd, Boise, ID 83706-1306 | |
James W Kranz | Chiropractic | 910 N Curtis Rd, Boise, ID 83706-1308 | |
Kenneth C Stratton Jr. | Certified Registered Nurse Anesthetist (crna) | Boise Anesthesia, Pa | 1055 N Curtis Rd, Boise, ID 83706-1309 |
Kyle P Noorlander | Certified Registered Nurse Anesthetist (crna) | Boise Anesthesia, Pa | 1055 N Curtis Rd, Boise, ID 83706-1309 |
Robert L Petersen | Hospitalist | Saint Alphonsus Regional Medical Center Inc | 1055 N Curtis Rd, Boise, ID 83706-1309 |
Brett E Curley | Certified Registered Nurse Anesthetist (crna) | Boise Anesthesia, Pa | 1055 N Curtis Rd, Boise, ID 83706-1309 |
Dianna Lee Binnion | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
Charles M Reynolds | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
Shane Kenneth Marshall | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
Find all physicians in zip 83706 |
City | BOISE |
Zip Code | 83706 |
Specialty | OPTOMETRY |
City + Specialty | BOISE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.