NPI age
20 years
Enumerated 2006-04-14
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 2309310-01 | BLUE CROSS OF OREGON |
| 01 (ID) | 000010015187 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | V5608 | BLUE CROSS OF IDAHO |
| 01 (ID) | 0396900001 | DMERC |
| 05 (ID) | 002523400 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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