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IDAHO EYELID & FACIAL PLASTIC SURGERY , PLLC
NPI 1255401436
Ophthalmology in Boise, ID

Active since November 08, 2006
111 W MAIN ST STE 200, BOISE, ID 83702(208) 344-3220(208) 344-0461 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2020, Mar 31, 2018, Oct 28, 2016 (3 updates tracked since 2016).

About Idaho Eyelid & Facial Plastic Surgery , Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO EYELID & FACIAL PLASTIC SURGERY , PLLC (NPI 1255401436) is a healthcare organization registered as an ophthalmology in Boise, Idaho and active in the NPI registry since November 2006. The organization lists Mark J Boerner, Owner, as its authorized official.

NPPES Registry Identity

NPI1255401436
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameIDAHO EYELID & FACIAL PLASTIC SURGERY , PLLC
Location Address111 W MAIN ST STE 200Boise, ID 83702-7308
Mailing Address111 W Main St Ste 200Boise, ID 83702-7308 · (208) 344-3220 · Fax (208) 344-0461
Phone(208) 344-3220
Fax(208) 344-0461
Organization SubpartNo
Authorized OfficialMark J BoernerOwner · (208) 344-3220
Enumeration DateNovember 8, 2006
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1255401436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X
111 W MAIN ST STE 200, Boise, ID 83702
Open in Google Maps ↗

Other Identifiers 4

Other8F488ID · Blue Cross Of Idaho
Medicaid806295400ID
OtherCJ6700ID · Medicare Rr
Other000010027884ID · Regence Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK J BOERNER M.D.
Ophthalmology
111 W MAIN ST STE 200
BOISE, ID 83702
Ada County (208) 344-3220
DR. CHAD HARMAN JACKSON MD
Ophthalmology
111 W MAIN ST STE 200
BOISE, ID 83702
Ada County (208) 344-3220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Eyelid & Facial Plastic Surgery , PLLC's NPI number?

The NPI number for Idaho Eyelid & Facial Plastic Surgery , PLLC is 1255401436. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Idaho Eyelid & Facial Plastic Surgery , PLLC located?

Idaho Eyelid & Facial Plastic Surgery , PLLC is located at 111 W Main St Ste 200, Boise, ID 83702. The listed phone number is (208) 344-3220.

What is Idaho Eyelid & Facial Plastic Surgery , PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Idaho Eyelid & Facial Plastic Surgery , PLLC accept?

Health plans from Moda Health Plan, Inc. list Idaho Eyelid & Facial Plastic Surgery , PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Eyelid & Facial Plastic Surgery , PLLC was last updated on April 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.