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LEAVITT VISION ASSOCIATES

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Company Details

Name: LEAVITT VISION ASSOCIATES
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 10 Jun 2008 (17 years ago)
Entity Number: 375900
Place of Formation: IDAHO
File Number: 0000375900
ZIP code: 83704
County: Ada County
Mailing Address: 10349 W MOSSY CUP ST BOISE, ID 83704

National Provider Identifier

NPI Number:
1497980833

Authorized Person:

Name:
MRS. SARAH D LEAVITT
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2083763029

Filing

Filing Name Filing Number Filing date
Initial Filing 0000375900 2008-06-10

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State