Muto, Derek George

Muto, Derek George is an individual health care provider with primary practice located at 1175 W Boise Ave , Boise ID 83706-3503. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Muto, Derek George can be contacted via phone (208) 384-9194.

Contact Information

Primary practice address
1175 W Boise Ave Boise ID 83706-3503
Phone: (208) 384-9194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100412 Idaho

Profile Details

NPI number 1881123933
LBN Legal business name Muto, Derek George
Credentials ODP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers