Provider Demographics
NPI:1447439674
Name:THE FRAME JOINT
Entity type:Organization
Organization Name:THE FRAME JOINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERDUYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-322-6211
Mailing Address - Street 1:7905 W USTICK RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5001
Mailing Address - Country:US
Mailing Address - Phone:208-322-6211
Mailing Address - Fax:208-322-6304
Practice Address - Street 1:7905 W USTICK RD
Practice Address - Street 2:SUITE E
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5001
Practice Address - Country:US
Practice Address - Phone:208-322-6211
Practice Address - Fax:208-322-6304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807937600Medicaid