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NPI 1013534890

IndividualActive

Brent Sexauer, OD

NPI 1013534890 · Optometrist · Boise, ID

Provider details

NPI number: 1013534890
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: 100508 (ID)

Practice location

1175 W Boise Ave

Boise, ID 83706-3503

Phone: (208) 384-9194

More ID providers

Mailing address

685 N 4th E

Mountain Home, ID 83647-2134

Registry dates

Enumerated: 2020-06-29
Last updated: 2020-06-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brent Sexauer, OD — NPI 1013534890, Boise, ID | NPI Central