NPI age
14 years
Enumerated 2011-06-16
Across 598 active optometrist providers in Idaho.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1760619365 | NPI |
| 05 (ID) | 808388100 |
Multi-provider organization. 11 individual providers on file at this primary address.
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