OrganizationActive
Intermountain Eye and Laser Centers PLLC
NPI 1194401505 · Ophthalmology Physician · Boise, ID
Provider details
- NPI number
- 1194401505
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Eye and Laser Centers PLLC
- Organization subpart
- Yes
- Authorized official
- Brent Betts, Partner(801) 581-2352
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
251 E Front St Ste 110
Boise, ID 83702-7313
Phone: (208) 342-2706
Approximate (ZIP-level) locationGet directions
Mailing address
999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Other names (DBA / former)
- Doing business as
- Intermountain Eye Centers
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.