Pabalis, Gary R.

Pabalis, Gary R. is an individual health care provider with primary practice located at 5680 W Gage St , Boise ID 83706-1326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pabalis, Gary R. can be contacted via phone (208) 377-3937.

Contact Information

Primary practice address
5680 W Gage St Boise ID 83706-1326
Phone: (208) 377-3937
Fax: (208) 377-9455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100002 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X 295 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 114212-9934 Utah

Profile Details

NPI number 1396740262
LBN Legal business name Pabalis, Gary R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 8th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396740262 NPPES
Idaho MEDICAID 806834700

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