Organization Active NPI

Optigenics LLC

  • General Practice Physician
  • Boise, ID
National Provider Identifier
1780987164
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OPTIGENICS LLC
Practice address
1317 W River St
Boise, ID 83702-6857
Phone
(208) 939-0100
Fax
(208) 947-9925
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zane Sterling, DC
Title
Owner
Phone
(208) 939-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1317 W River St
Boise, ID 83702-6857

Mailing address

1317 W River St
Boise, ID 83702-6857
Phone (208) 939-0100

National Provider Directory

National Provider Directory

Locations

1317 W River St
Boise, ID 83702
Phone (208) 939-0100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1780987164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026857",
            "telephone_number": "208-939-0100",
            "fax_number": "208-947-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026857",
            "telephone_number": "208-939-0100",
            "fax_number": "208-947-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIGENICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "ZANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-939-0100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.