Eye Care Northwest PA

Organization Active NPI Health Service Clinic/Center · Ontario, OR

NPI 1083743447 · NPPES record last updated Feb 11, 2021

Key facts

NPI
1083743447
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
EYE CARE NORTHWEST PA
Practice address
251 SW 19TH St
Ontario, OR 97914-1972
Phone
(208) 639-2542
Fax
(201) 300-0138
NPI assigned
Mar 3, 2007
Organization subpart
No

Authorized official

Name
Jeffrey Todd Liegner, MD
Title
Medical Director
Phone
(208) 639-2542

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Yes

Addresses

Primary practice location

251 SW 19TH St
Ontario, OR 97914-1972

Mailing address

2663 E Parkriver Dr
Boise, ID 83706-6083
Phone (208) 639-2542

Other practice location 1

2620 S Eagle Rd
Meridian, ID 83642-6704
Phone (208) 639-2542

Other names

  • Jeffrey Liegner, MD Doing business as

Other providers in Ontario, OR

All providers in Ontario, OR · Health Service Clinic/Center in Oregon

Sources for this page

Verify at the official NPI Registry.