Idaho Eyelid & Facial Plastic Surgery , PLLC
NPI 1255401436 · Ophthalmology Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Eyelid & Facial Plastic Surgery , PLLC is a Ophthalmology Physician organization in Boise, ID (NPI 1255401436).
Provider details
- NPI number
- 1255401436
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Boerner, Owner(208) 344-3220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-04-03
- Certified
- 2020-04-03
Frequently asked questions
- What is Idaho Eyelid & Facial Plastic Surgery , PLLC's NPI number?
- Idaho Eyelid & Facial Plastic Surgery , PLLC's National Provider Identifier (NPI) is 1255401436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Eyelid & Facial Plastic Surgery , PLLC?
- Idaho Eyelid & Facial Plastic Surgery , PLLC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Eyelid & Facial Plastic Surgery , PLLC located?
- Idaho Eyelid & Facial Plastic Surgery , PLLC's practice location on file with NPPES is 111 W Main St Ste 200, Boise, ID 83702-7308.
- What is Idaho Eyelid & Facial Plastic Surgery , PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Eyelid & Facial Plastic Surgery , PLLC is (208) 344-3220.
- Does Idaho Eyelid & Facial Plastic Surgery , PLLC accept Medicare?
- Idaho Eyelid & Facial Plastic Surgery , PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Idaho Eyelid & Facial Plastic Surgery , PLLC?
- The authorized official listed on Idaho Eyelid & Facial Plastic Surgery , PLLC's NPPES record is Mark Boerner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Eyelid & Facial Plastic Surgery , PLLC's NPI active?
- Yes — Idaho Eyelid & Facial Plastic Surgery , PLLC's NPI (1255401436) is active in the NPPES registry as of the last update on 2020-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.