NPI age
16 years
Enumerated 2009-10-07
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 96755831 | |
| 05 (WA) | 2034690 | |
| 05 (ID) | 1396070470 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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