IndividualActive
Jacob Mong, D.O.
NPI 1346535481 · Ophthalmology Physician · Boise, ID
Provider details
- NPI number
- 1346535481
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 1346535481 (MI)
Practice location
5680 W Gage St
Boise, ID 83706-1326
Phone: (208) 377-3937
Fax: (208) 377-9455
Mailing address
5680 W Gage St
Boise, ID 83706-1326
Registry dates
- Enumerated
- 2011-06-16
- Last updated
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.