Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Idaho Eyelid & Facial Plastic Surgery , Pllc

Ophthalmology Physician in Boise, ID · enumerated 2006 · authorized official Mark Boerner, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255401436

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Registry record

Entity type Organization (Type 2)

Legal business name Idaho Eyelid & Facial Plastic Surgery , Pllc

Practice address 111 W Main St Ste 200, Boise, ID, 83702

Phone (208) 344-3220

Fax (208) 344-0461

Enumeration date Nov 8, 2006

Last updated in NPPES Apr 3, 2020

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mark Boerner

Title Owner

Phone (208) 344-3220

Other identifiers

Identifier	Type	State	Issuer
8F488	Other	ID	BLUE CROSS OF IDAHO
000010027884	Other	ID	REGENCE BLUE SHIELD
CJ6700	Other	ID	MEDICARE RR
806295400	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Idaho Eyelid & Facial Plastic Surgery , Pllc?

Idaho Eyelid & Facial Plastic Surgery , Pllc is registered in NPPES as a Ophthalmology Physician (its primary provider taxonomy).

Providers at this address

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Mark Boerner Ophthalmology Physician · Boise, ID NPI 1003819459 Chad Jackson Ophthalmology Physician · Boise, ID NPI 1184067498

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-03.