IndividualActive
Chad Cleverly, O.D.
NPI 1386660959 · Optometrist · Boise, ID
Provider details
- NPI number
- 1386660959
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ODP-1015 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3293 N Milwaukee St
Boise, ID 83704-4446
Phone: (208) 322-2020
Fax: (208) 322-1192
Approximate (ZIP-level) locationGet directions
Mailing address
3293 N Milwaukee St
Boise, ID 83704-4446
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.