IndividualActive
Mark Boerner, M.D.
NPI 1003819459 · Ophthalmology Physician · Boise, ID
Provider details
- NPI number
- 1003819459
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M7206 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 W Main St Ste 200
Boise, ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461
Approximate (ZIP-level) locationGet directions
Mailing address
111 W Main St
Boise, ID 83702-7308
Registry dates
- Enumerated
- 2005-05-31
- Last updated
- 2020-04-15
- Certified
- 2020-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.