IndividualActive
Brian Mcgourty, O.D.
NPI 1811091309 · Optometrist · Nampa, ID
Provider details
- NPI number
- 1811091309
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0-592 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
310 2nd St S
Nampa, ID 83651-3765
Phone: (208) 467-1361
Fax: (208) 467-9008
Approximate (ZIP-level) locationGet directions
Mailing address
310 2nd St S
Nampa, ID 83651-3765
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2010-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.