ARTISAN PEDIATRIC EYECARE LLC
NPI 1487128823
Optometrist - Pediatrics in Boise, ID

Q: What is Artisan Pediatric Eyecare LLC's NPI number?

The NPI number for Artisan Pediatric Eyecare LLC is 1487128823. It was assigned to this organization in the NPPES registry on January 18, 2019.

Q: What is Artisan Pediatric Eyecare LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Active since January 18, 2019

7960 W RIFLEMAN ST STE 110, BOISE, ID 83704(208) 489-1477 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Artisan Pediatric Eyecare Llc NPPES

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

ARTISAN PEDIATRIC EYECARE LLC (NPI 1487128823) is a healthcare organization registered as a pediatrics in Boise, Idaho and active in the NPI registry since January 2019. The organization lists Jeffrey C Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1487128823

Entity TypeOrganization

Primary Taxonomy152WP0200X

Legal Business NameARTISAN PEDIATRIC EYECARE LLC

Location Address7960 W RIFLEMAN ST STE 110Boise, ID 83704-9064

Mailing Address152 N Al Fresco PlBoise, ID 83712-7599 · (208) 866-9455

Phone(208) 489-1477

Organization SubpartNo

Authorized OfficialJeffrey C JohnsonManager · (208) 489-1477

Enumeration DateJanuary 18, 2019

✔ NPI 1487128823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers

Taxonomy Code152WP0200X

Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X

Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X

7960 W RIFLEMAN ST STE 110, Boise, ID 83704

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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

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 Artisan Pediatric Eyecare LLC's NPI number?

The NPI number for Artisan Pediatric Eyecare LLC is 1487128823. It was assigned to this organization in the NPPES registry on January 18, 2019.

Where is Artisan Pediatric Eyecare LLC located?

Artisan Pediatric Eyecare LLC is located at 7960 W Rifleman St Ste 110, Boise, ID 83704. The listed phone number is (208) 489-1477.

What is Artisan Pediatric Eyecare LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

When was this NPI record last updated?

The NPPES record for Artisan Pediatric Eyecare LLC was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.