IndividualActive
Brian Davis, OD
NPI 1689234601 · Optometrist · Boise, ID
Provider details
- NPI number
- 1689234601
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 1028 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
4270 N Eagle Rd
Boise, ID 83713-0726
Phone: (208) 938-2010
Fax: (208) 938-2011
Approximate (ZIP-level) locationGet directions
Mailing address
4270 N Eagle Rd
Boise, ID 83713-0726
Registry dates
- Enumerated
- 2019-06-20
- Last updated
- 2022-05-02
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.