Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Aesthetic Eye PC

Organization Specialist · NPI 1881989895

Aesthetic Eye PC provides Specialist services in Ketchum, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

360 E 9th St #3
Ketchum, ID 83340 Not confirmed with CMS for 15 years — call before visiting
Phone: (541) 482-2821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M-11139 (ID)

Record details

NPI number1881989895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan McInnes — President · (209) 981-2747
NPI enumeratedJune 17, 2011
Last updated in NPPESJune 17, 2011
Mailing address2640 Creekside Dr, Lodi, CA 95242-8341

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