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BOISE VISION CARE, P.A.

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Company Details

Name: BOISE VISION CARE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 03 Jan 1994 (32 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 323055
Place of Formation: IDAHO
File Number: 323055
ZIP code: 83704
County: Ada County
Mailing Address: 3293 N MILWAUKEE ST BOISE, ID 83704-4446

Agent

Name Role Address
Chad W Cleverly Agent 3293 N MILWAUKEE ST, BOISE, ID 83704-4446

President

Name Role Address Appointed On
Chad W Cleverly Dr President 3293 N MILWAUKEE, BOISE, ID 83704 2021-01-12

Vice President

Name Role Address Appointed On Resigned On
Justin Denison Dr Vice President 3293 N MILWAUKEE, BOISE, ID 83704 2023-12-04 2023-12-04

National Provider Identifier

NPI Number:
1134295116

Authorized Person:

Name:
DR. DANIEL R. BOESPFLUG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332H00000X - Eyewear Supplier
Is Primary:
No
Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2083221192

Filing

Filing Name Filing Number Filing date
Annual Report 0005997657 2024-12-02
Annual Report 0005498633 2023-12-04
Annual Report 0005011281 2022-12-05
Annual Report 0004519993 2021-12-07
Annual Report 0004132186 2021-01-12

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Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State