NPI age
18 years
Enumerated 2007-07-10
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | V5996 | BLUE CROSS INDIVIDUAL |
| 01 (ID) | 000010144177 | BLUE SHIELD |
| 05 (ID) | 806671900 | |
| 01 (ID) | 00034 | VBA |
| 01 (ID) | 21776 | SPECTERA |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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