OrganizationActive
Idaho Eyelid & Facial Plastic Surgery , PLLC
NPI 1255401436 · Ophthalmology Physician · Boise, ID
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
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 Ste 200
Boise, ID 83702-7308
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-04-03
- Certified
- 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.