OrganizationActive
Artisan Pediatric Eyecare LLC
NPI 1487128823 · Pediatric Optometrist · Boise, ID
Provider details
- NPI number
- 1487128823
- Entity type
- Organization
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Authorized official
- Jeffrey Johnson, Manager
Practice location
7960 W Rifleman St Ste 110
Boise, ID 83704-9064
Phone: (208) 489-1477
Mailing address
152 N Al Fresco Pl
Boise, ID 83712-7599
Registry dates
- Enumerated
- 2019-01-18
- Last updated
- 2019-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.