NPI age
19 years
Enumerated 2007-01-02
Across 598 active optometrist providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1568427615 | |
| 05 (ID) | 1003973736 | |
| 05 (ID) | 1316038409 |
Multi-provider organization. 1 individual provider on file at this primary address.
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