OrganizationActive
Intermountain Eye and Laser Centers PLLC
NPI 1679259097 · Ophthalmology Physician · Meridian, ID
Provider details
- NPI number
- 1679259097
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Eye and Laser Centers PLLC
- Authorized official
- Brent Betts, Partner
Practice location
3090 E Gentry Way Ste 120
Meridian, ID 83642-3549
Phone: (208) 888-0005
Mailing address
999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.