Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Custom Vision Care Associates PA

Organization Ophthalmology Physician · NPI 1013212133

Custom Vision Care Associates PA is an Ophthalmology Physician in Nampa, Idaho. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1615 12th Ave Rd Ste B
Nampa, ID 83686-6184
Phone: (208) 498-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1013212133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Martinez — Physician Owner · (208) 498-1700
NPI enumeratedJanuary 20, 2011
Last updated in NPPESJanuary 20, 2011
Mailing address1615 12th Ave Rd Ste B, Nampa, ID 83686-6184

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