OrganizationActive
Intermountain Eye and Laser Centers PLLC
NPI 1730119611 · Ophthalmology Physician · Boise, ID
Provider details
- NPI number
- 1730119611
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Brent Betts, Physician
Practice location
999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Phone: (208) 373-1200
Fax: (208) 373-1216
Mailing address
999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Registry dates
- Enumerated
- 2006-07-04
- 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.