Optometrist, Low Vision Rehabilitation
STATE OF IDAHO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801833454 · enumerated 2006-06-01 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. ANGELA ROAN, Administrator · (208) 334-3220
Other names: IDAHO COMMISSION FOR THE BLIND & VISUALLY IMPAIRED
Addresses and phones
- Mailing address 120 S COLE RD, SUITE 120 - BLDG 3, BOISE, ID, 83709-0932 (208) 334-3220 Fax (208) 334-2963 Google Maps Apple Maps OpenStreetMap
- Practice location 120 S COLE RD, SUITE 120 - BLDG 3, BOISE, ID, 83709-0932 (208) 334-3220 Fax (208) 334-2963 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist, Low Vision Rehabilitation 152WL0500X · Primary
In this directory
Locations and evidence
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Practice location
BOISE, ID, 837090932
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.