SearchIdaho152W00000X

Vitaliy Pelikhatyy, O.D

NPI 1740515824 · on the registry since 2009 · sole proprietor

Practice

Address
8359 W Emerald St
Boise, ID 83704
Phone
(208) 321-0901
Organisation at this address
Oic Eye Care Llc
Eyes Of Idaho Pc
Dallas Stevens Od Pa
Luxottica Of America Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho