Boise Mountain Eye Associates, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-1022 Issued in ID

Legal business name

BOISE MOUNTAIN EYE ASSOCIATES, PLLC

Doing business as

Boise Mountain Eyecare

Practice address

13075 Persimmon LN., Suite a
Boise, ID 83713-2078

Phone

(208) 938-9900

Fax

(208) 939-9264

NPI assigned

May 31, 2007

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd A Stebel, O.D.NPI 1144263963

Title

Owner

Phone

(208) 938-9900

Specialties & licenses 2

Addresses

Other names 1

• Boise Mountain Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd A. Stebel, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1144263963
  Medicare reassignment Care Compare group NPD Authorized official
• Curtis Ellsworth Finch III, OD

  • Optometrist
  • Eagle, ID
  • NPI 1538654470
  Medicare reassignment Care Compare group NPD
• Tobin Jack Hale, OD

  • Optometrist
  • Boise, ID
  • NPI 1467973529
  Medicare reassignment Care Compare group NPD
• Holly Lynn Stebel, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1982654612
  Medicare reassignment Care Compare group NPD
• Nicholas William Gonzales

  • Optometrist
  • Caldwell, ID
  • NPI 1538858279
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1902007263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13075 PERSIMMON LN., SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132078",
            "telephone_number": "208-938-9900",
            "fax_number": "208-939-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 PERSIMMON LN., SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132078",
            "telephone_number": "208-938-9900",
            "fax_number": "208-939-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE MOUNTAIN EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "STEBEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-938-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1022",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Mountain Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Boise, ID
• Providers in Boise, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.